SOUTHEAST OPTICAL INC


Address: 2000 Clark Street, Miles City, MT 59301
Phone: 4062341447

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MT 0550001 05
MT BLUE CROSS BLUE SHIELD 29628 01

Office Location

Street Address 2000 CLARK STREET
City MILES CITY
State MT
Zip Code 59301

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City MILES CITY
Zip Code 59301

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Dataset Information

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.

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