Dr. Gregory Cavanaugh OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

415OPT Issued in MT

Legal business name

DR. GREGORY CAVANAUGH OD PC

Practice address

112 2ND St SE
Sidney, MT 59270-4104

Phone

(406) 482-2609

Fax

(406) 482-2697

NPI assigned

Apr 5, 2010

Last updated

Aug 9, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Cavanaugh, OD

Title

Owner

Phone

(406) 482-2609

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Family Eye Care Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristin L O'Brien, O.D.

  • Optometrist
  • Sidney, MT
  • NPI 1487800017
  NPD (past)
• Jared Burd, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1942616065
  NPD (past)

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1295050029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592701008",
            "telephone_number": "406-482-2609",
            "fax_number": "406-482-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 2ND ST SE",
            "city": "SIDNEY",
            "state": "MT",
            "postal_code": "592704104",
            "telephone_number": "406-482-2609",
            "fax_number": "406-482-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GREGORY CAVANAUGH OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "CAVANAUGH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-482-2609",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "415OPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0487019",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ND VISION",
            "identifier": "893290",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000026210",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007688",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "4064822609",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janie R Darby, CNP
• Kaci L Dean, APRN
• Joshua M Deschaine, PA-C
• Peter Gerard Deveaux, M.D..
• District II Alcohol & Drug Program
• Eagle Life Chiropractic PC
• Edward L Pierce MD PC
• Erin Mirann Ellingson, RPH
• Patricia Irene Era, ARNP
• Esprit Health and Wellness, LLC (Esprit Health Clinic)

• Optometrist in Sidney, MT
• Providers in Sidney, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.