NPIMap

Organization Active NPI

Miles City Vision Clinic PC

Doing business as Colstrip Eye Care

  • Optometrist
  • Colstrip, MT
National Provider Identifier
1831215862
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
372 Issued in MT
Legal business name
MILES CITY VISION CLINIC PC
Doing business as
Colstrip Eye Care
Practice address
6216 Main St
Colstrip, MT 59323-1924
Phone
(406) 748-3290
Fax
(406) 748-3301
NPI assigned
Mar 21, 2007
Last updated
Jul 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MILES CITY VISION CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Robert Dean Lunde, OD OPTOMETRISTNPI 1427023522
Title
Owner President
Phone
(406) 234-7426

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 372 MT Primary

Addresses

Primary practice location

6216 Main St
Colstrip, MT 59323-1924

Mailing address

PO Box 1924
Colstrip, MT 59323-1924
Phone (406) 748-3290

Other identifiers 1

IdentifierTypeStateIssuer
0482807MedicaidMT

Other names 1

  • Colstrip Eye Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Miles City Vision Clinic PC2 organizations share this tax ID, including this one
Part of
Miles City Vision Clinic PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1831215862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "COLSTRIP",
            "state": "MT",
            "postal_code": "593231924",
            "telephone_number": "406-748-3290",
            "fax_number": "406-748-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 MAIN ST",
            "city": "COLSTRIP",
            "state": "MT",
            "postal_code": "593231924",
            "telephone_number": "406-748-3290",
            "fax_number": "406-748-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES CITY VISION CLINIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MILES CITY VISION CLINIC",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "LUNDE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "406-234-7426",
        "authorized_official_credential": "OD OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482807",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colstrip Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colstrip, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.