MEDICARE: BIG SKY EYE PHYSICIANS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	33980	MT
2	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912312802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG SKY EYE PHYSICIANS LLC

Provider Business Mailing Address
First Line	:	832 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2836
Country	:	US
Telephone Number	:	406-723-4004
Fax Number	:	406-782-4567

Provider Business Practice Location Address
First Line	:	832 S MONTANA ST
Second Line	:
City	:	BUTTE
State	:	MT
Zip	:	59701-2836
Country	:	US
Telephone Number	:	406-723-4004
Fax Number	:	406-782-4567

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD T TSCHETTER
Credential	:
Telephone Number	:	406-723-4004

Provider Enumeration Date	:	06/30/2014
Last Update Date	:	01/07/2026

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