Organization Active NPI

Jessica L Peel OD PLLC

  • Optometrist
  • Billings, MT
National Provider Identifier
1801037916
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
787 Issued in MT
Legal business name
JESSICA L PEEL OD PLLC
Practice address
2646 Grand Ave Ste 7
Billings, MT 59102-7113
Phone
(406) 256-5952
Fax
(406) 256-3837
NPI assigned
Mar 19, 2009
Last updated
Mar 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jessica Lynn Peel, ODNPI 1417060104
Title
Sole Member/Manager
Phone
(406) 794-7656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 787 MT Primary

Addresses

Primary practice location

2646 Grand Ave Ste 7
Billings, MT 59102-7113

Mailing address

3115 Silverwood St
Billings, MT 59102-0655
Phone (406) 256-7880

Other identifiers 1

IdentifierTypeStateIssuer
1417060104MedicaidMT

National Provider Directory

National Provider Directory

Locations

1212 Grand Ave
Ste 14B
Billings, MT 59102
Phone (406) 259-6786

140 S 24th St W
Billings, MT 59102
Phone (406) 652-4792

2646 Grand Ave
Ste 7
Billings, MT 59102
Phone (406) 256-5952

795 King Park Dr
Ste 2
Billings, MT 59102
Phone (406) 656-1565

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1801037916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 SILVERWOOD ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020655",
            "telephone_number": "406-256-7880",
            "fax_number": "406-545-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 GRAND AVE STE 7",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591027113",
            "telephone_number": "406-256-5952",
            "fax_number": "406-256-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA L PEEL OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "PEEL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "406-794-7656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417060104",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.