EYE CLINIC OF GREAT FALLS, PC (NPI# 1538209390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538209390 |
| Entity Type | Organization |
| Organization Name | EYE CLINIC OF GREAT FALLS, PC |
| Other Organization Name | BENTON EYE CLINIC |
| Practice Address |
1516 Chouteau Street Fort Benton MT 59442 |
| Mailing Address |
Po Box 249 Fort Benton MT 59442 |
| Practice Telephone | 4066225449 |
| Practice Fax Number | 4066226188 |
| Mailing Telephone | 4066225449 |
| Mailing Fax Number | 4066226188 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | JOHN A KUMM (PARTNER OWNER) |
| Authorized Official Telephone | 4064529507 |
| Authorized Official Credential | OPTOMETRIST OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BLUE CROSS BLUE SHIELD | 25781 | 01 |
| MT | 0483730 | 05 |
| Other Name | Type Code |
|---|---|
| Benton Eye Clinic | Doing Business As Name - Organization |
| Street Address |
1516 CHOUTEAU STREET |
| City | FORT BENTON |
| State | MT |
| Zip Code | 59442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878678 | Natalie Dawn Bahnmiller | Social Worker | 1020 13th Street, Fort Benton, MT 59442 | 2018-01-10 |
| 1790236958 | Stanley Brammeier | Nurse Practitioner | 1203 15th St., Fort Benton, MT 59442 | 2016-10-21 |
| 1134596109 | Krystal Ann Joyce | Physical Therapist | 1714 Front St., Fort Benton, MT 59442 | 2015-08-26 |
| 1578891289 | Montana Therapy | Nurse Practitioner | 2111 Washington St, Fort Benton, MT 59442 | 2009-11-19 |
| 1568589661 | Christopher Halko | Pharmacist | 1418 Front Street, Fort Benton, MT 59442 | 2007-03-23 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1053473397 | Gary Edward Jimmerson | Chiropractor | 1309 Front St, Fort Benton, MT 59442 | 2006-12-14 |
| 1417017898 | Wanda Sue Diekhans | Counselor | 1108 Franklin, Fort Benton, MT 59442 | 2006-12-08 |
| 1174623979 | Dawn M Nelson | Physical Therapist | 1714 Front, Fort Benton, MT 59442 | 2006-09-22 |
| 1306853742 | Craig Raymond Nicholson | Family Medicine | 1203 15th St, Fort Benton, MT 59442 | 2006-08-01 |
| Find all providers in zip 59442 | ||||
| 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 |
|---|---|---|---|---|
| 1760008312 | Breanna Barnes | Optometrist | 201 2nd St E Ste B, Whitefish, MT 59937-2415 | 2020-06-19 |
| 1306462098 | Angie Marie Biskupiak | Optometrist | 534 N Last Chance Gulch Ste 1, Helena, MT 59601-3304 | 2020-06-18 |
| 1295350577 | Gabrielle Gunlikson | Optometrist | 430 Lake Elmo Dr Ste 1, Billings, MT 59105-3027 | 2020-06-11 |
| 1801456686 | Matthew Dooper | Optometrist | 100 Brookshire Blvd Ste 2, Billings, MT 59102-6751 | 2019-06-14 |
| 1811551500 | Stephanie Nicole Shoults | Optometrist | 2499 Gabel Rd Ste 3, Billings, MT 59102-7349 | 2019-04-28 |
| 1497246722 | Larry J. Bonderud, Od | Optometrist | 865 Oilfield Ave Ste 1, Shelby, MT 59474-2702 | 2018-05-22 |
| 1184171423 | Kelsey Long Sykes | Optometrist | 1425 W Main St Unit B, Bozeman, MT 59715-3283 | 2016-09-03 |
| 1134672751 | Haley Owens | Optometrist | 410 Railroad St, Deer Lodge, MT 59722-1910 | 2016-07-31 |
| 1063865590 | Erica Perlman - Hensen | Optometrist | 99 Town Center Ave, Unit #a6, Big Sky, MT 59716-0700 | 2016-07-20 |
| 1477909646 | Tel Michael Todd | Optometrist | 24215 Norris Rd, Bozeman, MT 59718-8187 | 2016-05-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENTON |
| Zip Code | 59442 |
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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.