NPIMap

Organization Active NPI

Marvel Vision Clinic, LLC

  • Optometrist
  • Hamilton, MT
National Provider Identifier
1871262501
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARVEL VISION CLINIC, LLC
Doing business as
Marvel Vision Clinic, LLC
Practice address
239 N 2ND St
Hamilton, MT 59840-2503
Phone
(406) 961-9611
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Dr. Richard Zavoda, ODNPI 1144319955
Title
Optometrist
Phone
(406) 961-9611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

239 N 2ND St
Hamilton, MT 59840-2503

Mailing address

239 N 2ND St
Hamilton, MT 59840-2503
Phone (406) 961-9611

Other names 1

  • Marvel Vision Clinic, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

239 N 2nd St
Hamilton, MT 59840
Phone (406) 961-9611

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1871262501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 N 2ND ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402503",
            "telephone_number": "406-961-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N 2ND ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402503",
            "telephone_number": "406-961-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVEL VISION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "ZAVODA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-961-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marvel Vision Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.