SOUTHERN MONTANA OPTOMETRIC CENTER, INC
NPI 1619017928
Optometrist in Laurel, MT
About Southern Montana Optometric Center, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN MONTANA OPTOMETRIC CENTER, INC (NPI 1619017928) is a healthcare organization registered as an optometrist in Laurel, Montana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through June 30, 2028 and lists Ronald Lee Benner, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Montana Optometric Center, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Southern Montana Optometric Center, Inc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 27D2346499
Southern Montana Optometric Center · Laurel, MTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern Montana Optometric Center, Inc's NPI number?
The NPI number for Southern Montana Optometric Center, Inc is 1619017928. It was assigned to this organization in the NPPES registry on February 7, 2007.
Where is Southern Montana Optometric Center, Inc located?
Southern Montana Optometric Center, Inc is located at 210 1st Ave, Laurel, MT 59044. The listed phone number is (406) 628-8668.
What is Southern Montana Optometric Center, Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Southern Montana Optometric Center, Inc enrolled in Medicare?
Yes. Southern Montana Optometric Center, Inc is registered in the Medicare PECOS enrollment system.
When is Southern Montana Optometric Center, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Montana, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southern Montana Optometric Center, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Southern Montana Optometric Center, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Montana Optometric Center, Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 27D2346499) is associated with this NPI, valid through June 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Montana Optometric Center, Inc accept?
Health plans from Blue Cross and Blue Shield of Montana list Southern Montana Optometric Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Southern Montana Optometric Center, Inc was last updated on November 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern Montana Optometric Center, Inc · NPI 1619017928
Optometrist organization in Laurel, Montana. Organization record, active in the CMS NPPES registry since February 7, 2007.
## Identity
- **NPI:** 1619017928 (Entity type: Organization)
- **Enumerated:** February 7, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Ronald Benner, PRESIDENT
## Practice location
- **Address:** 210 1ST AVE, Laurel, MT 59044-3014
- **Phone:** (406) 628-8668 · **Fax:** (406) 628-8668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Montana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Optometry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2007
- **Other identifiers:** Medicare NSC 4899260001 (MT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619017928) · Data from the CMS NPPES public registry.