Active NPI
Gerald Earl Meguire, O.D.
- Optometrist
- Great Falls, MT
National Provider Identifier
1285609909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 399
- Practice address
- 523 9TH St S
Great Falls, MT 59405 - Phone
- (406) 727-9160
- Fax
- (406) 771-8102
- NPI assigned
- Feb 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 399 | MT | Primary |
Addresses
Primary practice location
523 9TH St S
Great Falls, MT 59405
Mailing address
523 9TH St South
Great Falls, MT 59405
Phone (406) 727-4160
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41002965 | Other | MT | RR MEDICARE |
| 00025780 | Other | MT | BCBS |
| M000002578 | Other | MT | PTAN FOR MEDICARE |
| 48-7669 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399 | MT | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1285609909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 9TH ST SOUTH",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-727-4160",
"fax_number": "406-771-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 9TH ST S",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-727-9160",
"fax_number": "406-771-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEGUIRE",
"first_name": "GERALD",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "41002965",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00025780",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN FOR MEDICARE",
"identifier": "M000002578",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48-7669",
"state": "MT"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.