Provider Demographics
NPI:1437354834
Name:MCBRIDE & MCBRIDE OPTOMETRISTS, P.C.
Entity Type:Organization
Organization Name:MCBRIDE & MCBRIDE OPTOMETRISTS, P.C.
Other - Org Name:YELLOWSTONE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEBSOCK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-656-7605
Mailing Address - Street 1:2120 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-2603
Mailing Address - Country:US
Mailing Address - Phone:406-656-7605
Mailing Address - Fax:406-656-6430
Practice Address - Street 1:2120 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-2603
Practice Address - Country:US
Practice Address - Phone:406-656-7605
Practice Address - Fax:406-656-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
152W00000X
MTMT 505 AND MT 436332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1184363764OtherDR. DIXON MAGGARD NPI
MT1205157161OtherDR. JOSEPH STEINER
MT1306462098OtherDR. ANGIE BISKUPIAK NPI
MT0480571Medicaid
MT0480272Medicaid
MT1124427257OtherDR. SHAWN LEBSOCK NPI
MT0666750001Medicare NSC
MT1922161538OtherDR. KEVIN MCBRIDE NPI
MTT89272Medicare UPIN