Individual provider Active NPI

Thomas Drew Hall, O.D.

  • Optometrist
  • Missoula, MT
National Provider Identifier
1922154731
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
671 Issued in MT
Practice address
2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752
Phone
(406) 542-6382
Fax
(406) 542-4773
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 671 MT Primary

Addresses

Primary practice location

2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752

Mailing address

2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752
Phone (406) 542-6382

Other identifiers 2

IdentifierTypeStateIssuer
000027001OtherMTBCBS
0481423MedicaidMT

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
I20031213000038 MT Practitioner - Optometry 0547167033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Discovery Vision LLCGroup PAC ID 8224530407, 2 clinicians

Practice addresses (Care Compare)

2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
671MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Family Vision Care, PC Optometrist CurrentSince Feb 14, 2000 Accepting new patients
Discovery Vision LLC Optometrist CurrentSince Sep 13, 2025 Accepting new patients

Locations

2829 Great Northern Loop
Ste 100
Missoula, MT 59808
Phone (406) 390-1677

2829 Great Northern Loop
Missoula, MT 59808
Phone (406) 541-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1922154731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 GREAT NORTHERN LOOP",
            "address_2": "SUITE 100",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081752",
            "telephone_number": "406-542-6382",
            "fax_number": "406-542-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 GREAT NORTHERN LOOP",
            "address_2": "SUITE 100",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081752",
            "telephone_number": "406-542-6382",
            "fax_number": "406-542-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "THOMAS",
        "middle_name": "DREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000027001",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481423",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.