Provider Demographics
NPI:1285675603
Name:OPHTHALMIC ASSOCIATES OF BILLINGS LLC
Entity Type:Organization
Organization Name:OPHTHALMIC ASSOCIATES OF BILLINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:POWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-256-6000
Mailing Address - Street 1:4033 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59106-1738
Mailing Address - Country:US
Mailing Address - Phone:406-256-6000
Mailing Address - Fax:406-256-9006
Practice Address - Street 1:4033 AVENUE B
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59106-1738
Practice Address - Country:US
Practice Address - Phone:406-256-6000
Practice Address - Fax:406-256-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT798253207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW9566Medicare PIN
MT000082996Medicare PIN
MTCK7343Medicare PIN
MT4769560001Medicare NSC