Levi Ryan Black, OD | |
417 Main St Sw, Ronan, MT 59864-2738 | |
(406) 676-3937 | |
Not Available |
Full Name | Levi Ryan Black |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 3 Years |
Location | 417 Main St Sw, Ronan, Montana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831768779 | NPI | - | NPPES |
1063764173 | Medicaid | MT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT-OPT-LIC-4214 (Montana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mission Valley Eye Center Inc | 6800041542 | 2 |
Provider Name | Mission Valley Eye Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063764173 PECOS PAC ID: 6800041542 Enrollment ID: O20130301000098 |
Mailing Address | Practice Location Address |
---|---|
Levi Ryan Black, OD 417 Main St Sw, Ronan, MT 59864-2738 Ph: (406) 676-3937 | Levi Ryan Black, OD 417 Main St Sw, Ronan, MT 59864-2738 Ph: (406) 676-3937 |
Ronan Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Ronan Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Ronan Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Arnt James Ofstad, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Dr. Marcus Andrew Simonich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-3937 |