Active NPI
Michael Harry Simons, O.D.
- Optometrist
- Missoula, MT
National Provider Identifier
1962592543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 564
- Practice address
- 726 Kensington Ave
Missoula, MT 59801-5720 - Phone
- (406) 549-9413
- Fax
- (406) 543-4410
- NPI assigned
- Oct 13, 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 | 564 | MT | Primary |
Addresses
Primary practice location
726 Kensington Ave
Missoula, MT 59801-5720
Mailing address
726 Kensington Ave
Missoula, MT 59801-5720
Phone (406) 549-9413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 564 | MT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1962592543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 KENSINGTON AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015720",
"telephone_number": "406-549-9413",
"fax_number": "406-543-3410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 KENSINGTON AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015720",
"telephone_number": "406-549-9413",
"fax_number": "406-543-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONS",
"first_name": "MICHAEL",
"middle_name": "HARRY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "564",
"primary": true
}
],
"identifiers": [],
"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 Dec 26, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.