NPIMap

Organization Active NPI

Central Montana Eyecare PC

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1083015358
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTRAL MONTANA EYECARE PC
Practice address
2012 14TH St SW
Great Falls, MT 59404-3486
Phone
(406) 453-1900
Fax
(406) 453-1700
NPI assigned
Sep 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Morgan R Leach, ODNPI 1215930557
Title
Owner/Operator
Phone
(406) 453-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2012 14TH St SW
Great Falls, MT 59404-3486

Mailing address

2012 14TH St SW
Great Falls, MT 59404-3486
Phone (406) 453-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141212000312 MT Part B Supplier - Clinic/Group Practice 7517289002 Receives reassigned benefits from 6 practitioners
Practice locations: Great Falls, MT
O20150814013220 MT DME Supplier - Physician - Optometrist 7517289002 Practice locations: Great Falls, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2230767Central Montana Eyecare, PC2012 14TH Street, Great Falls, MT 59404Certificate of waiverJul 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Central Montana Eyecare PC2012 14TH St SW, Great Falls, MT 59404-3486(406) 453-1900 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Oct 17, 2014

National Provider Directory

National Provider Directory

Locations

2012 14th St SW
Great Falls, MT 59404
Phone (406) 452-4527

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1083015358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 14TH ST SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043486",
            "telephone_number": "406-453-1900",
            "fax_number": "406-453-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 14TH ST SW",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594043486",
            "telephone_number": "406-453-1900",
            "fax_number": "406-453-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTANA EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "406-453-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.