Individual provider Active NPI

Tara M Paul, O.D.

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1427047893
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5662 Issued in MT
Practice address
425 Smelter Ave NE
Great Falls, MT 59404-1927
Phone
(406) 750-2055
Fax
(406) 403-0276
NPI assigned
Oct 19, 2005
Last updated
May 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5662 MT Primary
Optometrist 152W00000X 5436 T2347 OH

Addresses

Primary practice location

425 Smelter Ave NE
Great Falls, MT 59404-1927

Mailing address

511 Central Ave W
Great Falls, MT 59404-2848
Phone (406) 760-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250708001479 TX Practitioner - Optometry 1254683097 Reassigns benefits to 1 organization
I20251209003700 MT Practitioner - Optometry 1254683097

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

511 Central Ave W
Great Falls, MT 59404-2848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5662MTMDOptometrist
5436 T2347OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
US Dept of Health & Human Services-Division of Indian Health CurrentSince Apr 26, 2025 Accepting new patients
Little Shell Health Center Current Accepting new patients
Little Shell Tribe of Chippewa Indians of Montana PastSince Sep 3, 2025 Accepting new patients

Locations

425 Smelter Ave NE
Great Falls, MT 59404
Phone (406) 247-7130

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1427047893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CENTRAL AVE W",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594042848",
            "telephone_number": "406-760-2055",
            "fax_number": "406-403-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SMELTER AVE NE",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041927",
            "telephone_number": "406-750-2055",
            "fax_number": "406-403-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "TARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "5662",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5436 T2347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.