SOUTHEAST OPTICAL INC (NPI# 1245355684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245355684 |
Entity Type | Organization |
Organization Name | SOUTHEAST OPTICAL INC |
Practice Address |
2000 Clark Street Miles City MT 59301 |
Practice Telephone | 4062341447 |
Practice Fax Number | 4062323538 |
Mailing Telephone | 4062341447 |
Mailing Fax Number | 4062323538 |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. CAREY A SWENSON (OWNER MANAGER) |
Authorized Official Telephone | 4062341447 |
Authorized Official Credential | ABO CERTIF OPTIC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MT | 0550001 | 05 | |
MT | BLUE CROSS BLUE SHIELD | 29628 | 01 |
Street Address |
2000 CLARK STREET |
City | MILES CITY |
State | MT |
Zip Code | 59301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013475011 | Pendelton House Assisted Living | Assisted Living Facility | 220 N Ceneter Ave, Miles City, MT 59301 | 2019-03-08 |
1124536453 | Dialysis Clinic Inc | Clinic/Center | 2708 Main Street, #4, Miles City, MT 59301 | 2018-01-22 |
1356760953 | Jessica Carter | General Acute Care Hospital | 2600 Wilson St, Miles City, MT 59301 | 2014-04-10 |
1164844833 | Yerger Family Dental, PC | Dentist | 2904 Mallet Ln, Miles City, MT 59301 | 2014-01-14 |
1679812937 | Peterson Psychological Services, Inc | Psychologist | 18 N. 8th St, Miles City, MT 59301 | 2013-02-06 |
1528208832 | Anita Roseann Leinen | Counselor | 2508 Wilson Sreet, Miles City, MT 59301 | 2009-02-26 |
1902074966 | Wagner Chiropractic, Pllc | Chiropractor | 213 N Haynes, Miles City, MT 59301 | 2008-02-13 |
1992835524 | Big Country Educational Cooperative | Local Education Agency (LEA) | 206 Kenwood, Miles City, MT 59301 | 2007-03-06 |
1629107453 | Dee Ann Mclellan-sams | Counselor | 2705 Main St, Choices-compassionate Care Counseling Center, Miles City, MT 59301 | 2007-03-05 |
1417011578 | Pamela J. Colombik | Counselor | 2000 Clarke St, Suite # 6, Miles City, MT 59301 | 2006-12-21 |
Find all providers in zip 59301 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245896638 | Shoptikal LLC | Technician/Technologist | 316 S 24th St W Ste 101b, Billings, MT 59102-5605 | 2019-05-12 |
1861058257 | Shoptikal LLC | Technician/Technologist | 155 Hutton Ranch Rd Ste 101, Kalispell, MT 59901-2153 | 2019-05-12 |
1417513896 | Shoptikal LLC | Technician/Technologist | 3075 N Reserve St Ste F, Missoula, MT 59808-1390 | 2019-05-11 |
1962901355 | Melita Lynnette Schaefer | Technician/Technologist | 2910 S Reserve St Ste B, Missoula, MT 59801-7677 | 2018-02-12 |
1770033847 | Rocky Mountain Optical and Contact Lens Center, Inc. | Technician/Technologist | 120 S 5th St Ste 105, Hamilton, MT 59840-2798 | 2016-10-12 |
1811374614 | Christy Wickund | Technician/Technologist | 601 W Spruce St Ste E, Missoula, MT 59802-4047 | 2015-04-30 |
1548676117 | Laurie Ann Butkay | Technician/Technologist | 3417 Busch, Butte, MT 59701 | 2014-07-03 |
1982953899 | Tricia Hill-parks | Technician/Technologist | 120 South 5th Street, Ste 105, Hamilton, MT 59840-9840 | 2012-09-06 |
1356588131 | Ronald Jay Bishop Jr. | Technician/Technologist | 3810 S 7th St W, Missoula, MT 59804-1916 | 2009-01-15 |
1255500294 | Burton Opticians | Technician/Technologist | 3410 Harrison Ave, Butte, MT 59701-3546 | 2008-02-25 |
Find all providers with the same taxonomy |
City | MILES CITY |
Zip Code | 59301 |
Please comment or provide details below to improve the information on SOUTHEAST OPTICAL INC.
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.