- Medicare in Missoula, MT

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is a medicare enrolled "Eyewear Supplier" provider in Missoula, Montana. Their current practice location is 3075 N Reserve St Ste F, Missoula, Montana. You can reach out to their office (for appointments etc.) via phone at (406) 721-4646.

is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1417513896.

Contact Information

3075 N Reserve St Ste F,
Missoula, MT 59808-1390
(406) 721-4646
Not Available

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityEyewear Supplier
Location3075 N Reserve St Ste F, Missoula, Montana
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417513896
  • Provider Enumeration Date: 05/11/2019
  • Last Update Date: 11/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1456684471
  • Enrollment ID: O20190617001368

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417513896NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
156FX1800XTechnician/technologist - Optician (* (Not Available))Secondary
332H00000XEyewear Supplier (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameRandall K Hollman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1669424990
PECOS PAC ID: 6002883683
Enrollment ID: I20040913001428
Provider NameThomas R Ferguson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1043259104
PECOS PAC ID: 4284694431
Enrollment ID: I20041013000307
Provider NameGregory G Zell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679534705
PECOS PAC ID: 0941263552
Enrollment ID: I20041104001086
Provider NameRebecca K Jackson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205819638
PECOS PAC ID: 7911914395
Enrollment ID: I20060309000263
Provider NameEva E Buker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033262076
PECOS PAC ID: 7416048830
Enrollment ID: I20070814000294
Provider NameJessica L Peel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417060104
PECOS PAC ID: 7315988755
Enrollment ID: I20090608000189
Provider NameDouglas Henry Gratwohl
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508893694
PECOS PAC ID: 1355445099
Enrollment ID: I20110131000220
Provider NameJohn T Gingrich
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1902858889
PECOS PAC ID: 1759577232
Enrollment ID: I20161216002184
Provider NameMalay Pansheria
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821471657
PECOS PAC ID: 4082904214
Enrollment ID: I20220805000970
Provider NameDanielle Riili-mazniker Md
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326541921
PECOS PAC ID: 3678816634
Enrollment ID: I20220909002641
Provider NameNayab Davis
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942782321
PECOS PAC ID: 0547512030
Enrollment ID: I20221003001820
Provider NameMagdalena Fuentes
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1932617909
PECOS PAC ID: 3173864428
Enrollment ID: I20221003002695
Provider NameRonald Meeker
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194728188
PECOS PAC ID: 9032000286
Enrollment ID: I20230104000505
Provider NameNeil William Kawaguchi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407532542
PECOS PAC ID: 5799144705
Enrollment ID: I20230710001233
Provider NameDaniel Plumb
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1528894961
PECOS PAC ID: 0749711034
Enrollment ID: I20240926003297

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 19060,
Green Bay, WI 54307-9060

Ph: () -
3075 N Reserve St Ste F,
Missoula, MT 59808-1390

Ph: (406) 721-4646

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.