Provider Demographics
NPI:1558431148
Name:HEIGHTS EYECARE, INC.
Entity Type:Organization
Organization Name:HEIGHTS EYECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:LINDE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-252-9927
Mailing Address - Street 1:430 LAKE ELMO DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59105-3037
Mailing Address - Country:US
Mailing Address - Phone:406-252-9927
Mailing Address - Fax:406-252-6567
Practice Address - Street 1:430 LAKE ELMO DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59105-3037
Practice Address - Country:US
Practice Address - Phone:406-252-9927
Practice Address - Fax:406-252-6567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT532152W00000X
MT665152W00000X
MT781152W00000X
MT747152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT011000891OtherSARAH ELIZABETH HILL
MTDC6174OtherRAILROAD MEDICARE
MT0483412Medicaid
MT000025164OtherMEDICARE ID - TYPE UNSPECIFIED
MT0482326Medicaid
MT0480607Medicaid
MT0483412Medicaid
MTU77493Medicare UPIN
MT0480607Medicaid
MT011000891OtherSARAH ELIZABETH HILL
MTDC6174OtherRAILROAD MEDICARE
MTU71220Medicare UPIN
MT000084260Medicare ID - Type UnspecifiedHEIGHTS EYECARE GROUP