Individual provider Active NPI

Bobin Kay Mont, O.D.

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1861402570
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2679ATI Issued in OR
Practice address
2037 NW 185TH Ave
Hillsboro, OR 97124-7073
Phone
(503) 690-9200
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2679ATI OR Primary

Addresses

Primary practice location

2037 NW 185TH Ave
Hillsboro, OR 97124-7073

Mailing address

741 NW Jackson St
Hillsboro, OR 97124-3703
Phone (503) 693-2980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20120321000912 OR Practitioner - Optometry 9335309731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Accent Inc.Group PAC ID 0648430025, 5 clinicians

Practice addresses (Care Compare)

1981 NW 185TH Ave
Hillsboro, OR 97124-7072
Phone (503) 690-9200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2679ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Accent Inc. Optometrist CurrentSince Mar 24, 2017 Accepting new patients
Vision Accent Inc. Optometrist CurrentSince Mar 24, 2017 Accepting new patients
Accent Eyewear Past Accepting new patients

Locations

1981 NW 185th Ave
Hillsboro, OR 97124
Phone (503) 690-9200

Interoperability endpoints

  • Direct secure messaging: bobin.mont@direct.revolutionehr.com

Organizations & group practices 3

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861402570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 NW JACKSON ST",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243703",
            "telephone_number": "503-693-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 NW 185TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971247073",
            "telephone_number": "503-690-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONT",
        "first_name": "BOBIN",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2679ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.