LAGRECA EYE CLINIC PC (NPI# 1609882810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609882810 |
Entity Type | Organization |
Organization Name | LAGRECA EYE CLINIC PC |
Other Organization Name | THE EYE CLINIC SURGICENTER LAGRECA EYE CLINIC |
Practice Address |
2475 Village Ln Suite 202 Billings MT 59102-2497 |
Practice Telephone | 4062526608 |
Practice Fax Number | 4062526600 |
Mailing Telephone | 4062526608 |
Mailing Fax Number | 4062526600 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2011-12-29 |
Authorized Official Name | DR. BRIAN A LAGRECA (MEDICAL DIRECTOR PRESIDENT) |
Authorized Official Telephone | 4062526608 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
10825 | MT | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | BCBS | 311773 | 01 |
WORKERS COMP REG | 104306400 | 01 | |
WY | BCBS | 311774 | 01 |
MT | BCBS | 000060752 | 01 |
MT | 0351254 | 05 | |
MT | RAILROAD MEDICARE | 490005544 | 01 |
MT | BCBS | 0000099920 | 01 |
WORKERS COMP FIC | 105765101 | 01 |
Other Name | Type Code |
---|---|
The Eye Clinic Surgicenter LaGreca Eye Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548440019 | Lagreca Eye Clinic PC | Ophthalmology | 1150 Main St, Lander, WY 82520-2620 | 2007-11-13 |
Street Address |
2475 VILLAGE LN SUITE 202 |
City | BILLINGS |
State | MT |
Zip Code | 59102-2497 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255708335 | Valerie Ramsay | Counselor | 2475 Village Ln, Suite 102, Billings, MT 59102-2497 | 2015-08-25 |
1497162911 | Pacific Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2475 Village Ln, Ste 100, Billings, MT 59102-2497 | 2014-07-16 |
1770860645 | Barbara Pellant Mende | Counselor | 2475 Village Ln, Ste 102, Billings, MT 59102-2497 | 2011-11-07 |
1205165735 | Safe Harbor Therapeutic Services LLC | Counselor | 2475 Village Ln, Ste 102, Billings, MT 59102-2497 | 2009-12-11 |
1780866251 | Lagreca Eye Clinic, PC | Ophthalmology | 2475 Village Ln, Ste 202, Billings, MT 59102-2497 | 2007-11-27 |
1427239029 | Judith Leota Starr I | Counselor | 2475 Village Ln, 101, Billings, MT 59102-2497 | 2007-11-25 |
1740490853 | Kathleen C Mattucci | Social Worker | 2475 Village Ln, Suite 102, Billings, MT 59102-2497 | 2007-05-23 |
1801921713 | Larry D Erpenbach | Optometrist | 2475 Village Ln, Suite 202, Billings, MT 59102-2497 | 2007-02-22 |
1992840128 | Brian A Lagreca | Ophthalmology | 2475 Village Ln, Suite 202, Billings, MT 59102-2497 | 2007-02-21 |
1508878315 | Karen Johnson Kietzman | Psychologist | 2475 Village Ln, Suite 104, Billings, MT 59102-2497 | 2006-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
Find all providers in zip 59102 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760836167 | Yellowstone Surgery Center LLC | Clinic/Center | 1739 Spring Creek Dr, Billings, MT 59102-6747 | 2016-04-21 |
1508163700 | Orthopaedic Neuro Institute Surgical Center, LLC | Clinic/Center | 1739 Spring Creek Lane, Suite 100, Billings, MT 59102 | 2011-02-24 |
1497759955 | Yellowstone Surgery Center, LLC | Clinic/Center | 1144 N 28th St, Billings, MT 59101-0110 | 2005-06-10 |
1437794625 | Vance Thompson Vision Surgery Center Billings, LLC | Clinic/Center | 1747 Poly Dr, Billings, MT 59102-1728 | 2019-11-12 |
1578895207 | Morledge Family Surgery Center | Clinic/Center | 1747 Poly Dr, Billings, MT 59102-1728 | 2010-02-05 |
1801936117 | Premier Outpatient Surgery, Pllc | Clinic/Center | 1020 N 27th St, Ste 400, Billings, MT 59101-0760 | 2007-02-07 |
1962469544 | Northern Rockies Surgery Center Lp | Clinic/Center | 940 N 30th St, Billings, MT 59101-0742 | 2006-04-27 |
1023079860 | Web Properties Inc | Clinic/Center | 1221 N 26th St, Billings, MT 59101-0232 | 2006-03-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285251132 | West Bozeman Surgery Center, LLC | Clinic/Center | 5031 S. Cottonwood Road, Suite 100, Bozeman, MT 59718 | 2020-06-26 |
1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
1548626872 | Kalispell Regional Medical Center Inc | Clinic/Center | 106 Ridgewater Dr Ste B, Polson, MT 59860-8977 | 2015-12-31 |
1265645311 | Summit Surgery Center, LLC | Clinic/Center | 434 South Clark Street, Butte, MT 59701 | 2007-05-07 |
1770676447 | Summit Surgery Center LLC | Clinic/Center | 434 South Clark St., Butte, MT 59701-2836 | 2006-10-02 |
1487684213 | Same Day Surgery Center | Clinic/Center | 300 North Willson, Ste 600f, Bozeman, MT 59715 | 2006-07-04 |
1639158645 | Big Sky Surgery Center, LLC | Clinic/Center | 2833 Fort Missoula Rd, Missoula, MT 59804-7408 | 2006-01-10 |
1841275211 | Helena Surgicenter, LLC | Clinic/Center | 2440 Winne Ave, Suite 100, Helena, MT 59601-4905 | 2005-12-08 |
1447251327 | Great Falls Clinic Surgery Center LLC | Clinic/Center | 1509 29th St S, Great Falls, MT 59405-5363 | 2005-08-02 |
1033769435 | Gallatin Valley Surgical Arts | Clinic/Center | 1994 Stadium Dr, Bozeman, MT 59715-0655 | 2019-09-17 |
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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.