EYES ON MAIN INCORPORATED (NPI# 1316121627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121627 |
| Entity Type | Organization |
| Organization Name | EYES ON MAIN INCORPORATED |
| Other Organization Name | EYES ON MAIN |
| Practice Address |
1425 W Main St Unit B Bozeman MT 59715-3283 |
| Practice Telephone | 4065862173 |
| Mailing Telephone | 4065862173 |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2020-03-29 |
| Authorized Official Name | JEFFREY C SQUIRE (PRESIDENT) |
| Authorized Official Telephone | 4065862173 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 657 | MT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0483752 | 05 | |
| MT | DEA NUMBER | MS2466476 | 01 |
| MT | BCBS OF MONTANA | 0000028361 | 01 |
| INDIVIDUAL NPI NUMBER | 1982766747 | 01 | |
| MT | MEDICARE GROUP PIN | 000085167 | 01 |
| Other Name | Type Code |
|---|---|
| EYES ON MAiN | Doing Business As Name - Organization |
| Street Address |
1425 W MAIN ST UNIT B |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-3283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598062523 | Advanced Spine and Wellness | Chiropractor | 1425 W Main St, Suite C, Bozeman, MT 59715-3283 | 2011-02-28 |
| 1144478462 | Sarah Q Kirkpatrick | Optometrist | 1425 W Main St, Suite B, Bozeman, MT 59715-3283 | 2008-08-28 |
| 1982766747 | Jeffrey C Squire | Optometrist | 1425 W Main St, Unit B, Bozeman, MT 59715-3283 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184171423 | Kelsey Long Sykes | Optometrist | 1425 W Main St Unit B, Bozeman, MT 59715-3283 | 2016-09-03 |
| 1477909646 | Tel Michael Todd | Optometrist | 24215 Norris Rd, Bozeman, MT 59718-8187 | 2016-05-06 |
| 1497061659 | Jessica N Lemons | Optometrist | 2825 W Main St Ste 1e, Bozeman, MT 59718-3927 | 2010-08-26 |
| 1841475290 | Leonard & David Vainio PC | Optometrist | 2825 W Main Street, Gallatin Valley Mall #53, Bozeman, MT 59715-9999 | 2008-01-04 |
| 1629283155 | Advanced Eyecare LLC | Optometrist | 4265 Fallon St, Suite 1, Bozeman, MT 59718-6756 | 2007-05-10 |
| 1831251123 | Kraig D Kuntz | Optometrist | 815 W College St Ste B, Bozeman, MT 59715-5029 | 2006-12-14 |
| 1669531224 | Thomas Christian Sather | Optometrist | 1007 W College St, Bozeman, MT 59715-5064 | 2006-12-08 |
| 1255423307 | Cynthia Ruth Johnson | Optometrist | 4265 Fallon St, Suite 1, Bozeman, MT 59718 | 2006-09-28 |
| 1720040769 | Jeffrey Blake Sperry | Optometrist | 2825 W Main St, #5d, Bozeman, MT 59718-3927 | 2006-04-05 |
| 1174596738 | Carl J Roth IIi | Optometrist | 113 E Oak St Ste 2c, Bozeman, MT 59715-2972 | 2006-02-13 |
| Find all providers in BOZEMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.