Active NPI
Havre Optometric Clinic, PLLP
- Optometrist
- Havre, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- HAVRE OPTOMETRIC CLINIC, PLLP
- Practice address
- 416 3Rd Ave
Havre, MT 59501-3914 - Phone
- (406) 265-1231
- Fax
- (406) 265-1603
- NPI assigned
- Feb 21, 2007
- Last updated
- Jul 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas A Safley, OD
- Title
- Partner
- Phone
- (406) 265-1231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | MT | ||
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
416 3Rd Ave
Havre, MT 59501-3914
Mailing address
PO Box 551
Havre, MT 59501-0551
Phone (406) 265-1231
Other names 1
- HAVRE OPTOMETRIC CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 27D2026081 | Havre Optometric Clinic | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
416 3rd Ave
Havre, MT 59501
Phone (406) 265-1231
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Chinook, MT
- NPI 1285606426
-
- Optometrist
- Havre, MT
- NPI 1194747055
-
- Optometrist
- Havre, MT
- NPI 1033568159
-
- Optometrist
- Havre, MT
- NPI 1093729535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436140800000",
"number": "1982749362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 551",
"city": "HAVRE",
"state": "MT",
"postal_code": "595010551",
"telephone_number": "406-265-1231",
"fax_number": "406-265-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 3RD AVE",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013914",
"telephone_number": "406-265-1231",
"fax_number": "406-265-1603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVRE OPTOMETRIC CLINIC, PLLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2015-07-06",
"status": "A",
"authorized_official_last_name": "SAFLEY",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "406-265-1231",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "MT",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HAVRE OPTOMETRIC CLINIC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.