Active NPI
Thomas Drew Hall, O.D.
- Optometrist
- Missoula, MT
National Provider Identifier
1922154731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 671
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000027001 | Other | MT | BCBS |
| 0481423 | 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
- Southern College of Optometry, 1998
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2829 Great Northern Loop
Suite 100
Missoula, MT 59808-1752
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671 | MT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montana Family Vision Care, PC | Optometrist | Current | Accepting new patients |
| Discovery Vision LLC | Optometrist | Current | 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.
-
- Optometrist
- Missoula, MT
- NPI 1659162550
-
- Optometrist
- Missoula, MT
- NPI 1194908624
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.