| 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 | 5 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 |
Mission Valley Eye Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 417 Main St Sw, Ronan, MT 59864 Phone: 406-676-8921 Fax: 406-676-3938 | |
Arnt James Ofstad, P.c. 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, P.c. 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 |