DR BROTT & ASSOCIATES OD PC (NPI# 1801855044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801855044 |
| Entity Type | Organization |
| Organization Name | DR BROTT & ASSOCIATES OD PC |
| Practice Address |
4000 Us Highway 93 S Missoula MT 59804-7347 |
| Practice Telephone | 4062513679 |
| Practice Fax Number | 4062513715 |
| Mailing Telephone | 4062513679 |
| Mailing Fax Number | 4062513715 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. HEIDI G BROTT (OWNER OPTOMETRIST) |
| Authorized Official Telephone | 4062513679 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 577 | MT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0484120 | 05 |
| Street Address |
4000 US HIGHWAY 93 S |
| City | MISSOULA |
| State | MT |
| Zip Code | 59804-7347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144482548 | Heidi Gail Brott | Optometrist | 4000 Us Highway 93 S, Missoula, MT 59804-7347 | 2008-06-26 |
| 1225124563 | Walmart Stores, Inc | Technician/Technologist | 4000 Us Highway 93 S, Missoula, MT 59804 | 2006-10-05 |
| 1497702989 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 4000 Us Highway 93 S, Missoula, MT 59804-7347 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063019297 | Momentum Speech Therapy, PC | Speech-Language Pathologist | 9885 O'brien Creek Road, Missoula, MT 59804 | 2020-10-01 |
| 1033633037 | Marissa Clark | Genetic Counselor, MS | 2827 Fort Missoula Rd., Suite 317, Missoula, MT 59804 | 2017-08-01 |
| 1104295245 | Scott Richter | Specialist/Technologist | 2892 Ringo Dr, Missoula, MT 59804 | 2015-09-18 |
| 1467860353 | Zachary Ueland | Pharmacist | 4000 Highway 93 South, Missoula, MT 59804 | 2014-07-24 |
| 1316378185 | Tracy Laurel Brothers | Counselor | 1305 Wyoming Street, Missoula, MT 59804 | 2013-12-04 |
| 1447683651 | Granite Pharmacy Missoula, LLC | Durable Medical Equipment & Medical Supplies | 2230 27th Ave. West, Suite 2, Missoula, MT 59804 | 2013-08-12 |
| 1871843953 | Autum Emerson Howell | Nurse Practitioner | 2831 Ft. Missoula Rd. Bldg 2, 102, Missoula, MT 59804 | 2012-09-14 |
| 1821353939 | Carlyn Doyle | Nurse Practitioner | 2835 Fort Missoula Rd Ste 203, Missoula, MT 59804 | 2012-07-05 |
| 1396011961 | Patricia Jean Evans | Internal Medicine | 702 S.w. Higgins, First Choice Medical Clinic, Missoula, MT 59804 | 2012-03-28 |
| 1205126794 | Pacific Medical, Inc. | Prosthetic/Orthotic Supplier | 2732 South Ave West, Suite 202, Missoula, MT 59804 | 2011-04-18 |
| Find all providers in zip 59804 | ||||
| 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 |
|---|---|---|---|---|
| 1811259336 | Jennifer Lynn Kessler | Optometrist | 2901 Brooks St Ste B7, Missoula, MT 59801-7725 | 2012-06-11 |
| 1356523211 | Leonard & David Vainio PC | Optometrist | 1431 S Higgins Ave, Missoula, MT 59801-4251 | 2007-12-03 |
| 1205958717 | Family Vision Care, Inc. | Optometrist | 2106 Oxford St, Missoula, MT 59801-6638 | 2007-04-04 |
| 1922154731 | Thomas Drew Hall | Optometrist | 2829 Great Northern Loop, Suite 100, Missoula, MT 59808-1752 | 2007-01-25 |
| 1356492078 | Jeffrey Todd Lebsock | Optometrist | 3220 North Reserve St., Missoula, MT 59808 | 2007-01-16 |
| 1881752863 | Janna Terese Greenwell | Optometrist | 3220 Northern Pacific St, Missoula, MT 59808-1338 | 2006-12-04 |
| 1962592543 | Michael Harry Simons | Optometrist | 726 Kensington Ave, Missoula, MT 59801-5720 | 2006-10-13 |
| 1417996158 | Bonnie Rae Gunter | Optometrist | 1429 S Higgins Ave, Missoula, MT 59801-4251 | 2006-06-06 |
| 1205819638 | Rebecca Katherine Pitt Jackson | Optometrist | 2510 S Reserve St, Missoula, MT 59801-7546 | 2005-11-21 |
| 1073028213 | Ty William Felton | Optometrist | 700 W Kent Ave, Missoula, MT 59801-6772 | 2017-12-11 |
| Find all providers in MISSOULA | ||||
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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.