Individual provider Active NPI

Donald Michael Hager, O.D.

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1831396548
Registry record updated Aug 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
794 Issued in MT
Practice address
509 2ND Ave N
Great Falls, MT 59401-2521
Phone
(406) 452-9507
Fax
(406) 452-2015
NPI assigned
Jun 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046.009958 IL
Optometrist 152W00000X 794 MT Primary

Addresses

Primary practice location

509 2ND Ave N
Great Falls, MT 59401-2521

Mailing address

PO Box 3427
Great Falls, MT 59403-3427
Phone (406) 452-9507

Other identifiers 1

IdentifierTypeStateIssuer
25743OtherMTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080130000718 MT Practitioner - Optometry 3678667136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Great Falls PCGroup PAC ID 2062404411, 3 clinicians

Practice addresses (Care Compare)

1516 Chouteau
Fort Benton, MT 59442-9003

1516 Chouteau St
Fort Benton, MT 59442-9003
Phone (406) 622-5449

509 2ND Ave N
Great Falls, MT 59401-2521
Phone (406) 452-9507

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046.009958ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Great Falls, PC Optometrist CurrentSince Jan 2, 2008 Accepting new patients
Eye Clinic of Great Falls, P.C. Optometrist CurrentSince Jan 2, 2008 Accepting new patients
Chittick Family Eye Care LTD Optometrist Past Accepting new patients
Nobbe Eye Care Center, LLC Optometrist PastSince May 1, 2002 Accepting new patients

Locations

509 2nd Ave N
Great Falls, MT 59401
Phone (406) 452-9507

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1831396548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3427",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594033427",
            "telephone_number": "406-452-9507",
            "fax_number": "406-452-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 2ND AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012521",
            "telephone_number": "406-452-9507",
            "fax_number": "406-452-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGER",
        "first_name": "DONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009958",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25743",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.