Active NPI
Steven L Sorensen, OD
- Optometrist
- Libby, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 495
- Practice address
- 422 Louisiana Ave
Libby, MT 59923 - Phone
- (406) 293-4136
- Fax
- (406) 293-2033
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 495 | MT | Primary |
Addresses
Primary practice location
422 Louisiana Ave
Libby, MT 59923
Mailing address
422 Louisiana Ave
Libby, MT 59923
Phone (406) 293-4136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0483522 | Medicaid | MT | |
| 0481468 | Medicaid | MT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
422 Louisiana Ave
Libby, MT 59923-2132
Phone (406) 293-4136
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 495 | MT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Vision Centers PC | Optometrist | Current | Accepting new patients |
| Kootenai Vision Centers PC | Optometrist | Past | Accepting new patients |
Locations
422 Louisiana Ave
Libby, MT 59923
Phone (406) 293-2134
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Cabinet Peaks Medical Center | Hospital | Corporate Director | Jul 5, 1994 |
| Cabinet Peaks Medical Center | Hospital | Corporate Director | Jul 5, 1994 |
| Cabinet Peaks Family Medicine | Rural health clinic | Corporate Director | Mar 14, 2016 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Medicare Defined Swing Bed Hospital Unit
- Libby, MT
- NPI 1588720882
Corporate Director
-
- Critical Access Hospital
- Libby, MT
- NPI 1952312050
Corporate Director
Organizations & group practices 2
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.
-
- Optometrist
- Libby, MT
- NPI 1528251832
-
- Optometrist
- Eureka, MT
- NPI 1619161502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282003200000",
"number": "1851463947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 LOUISIANA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-4136",
"fax_number": "406-293-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 LOUISIANA AVE",
"city": "LIBBY",
"state": "MT",
"postal_code": "59923",
"telephone_number": "406-293-4136",
"fax_number": "406-293-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2010-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0483522",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481468",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libby, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.