Individual provider Active NPI

Mindy Sterner Leach, OD

  • Optometrist
  • Great Falls, MT
National Provider Identifier
1497756340
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
540 Issued in MT
Practice address
2012 14TH St SW
Great Falls, MT 59404-3486
Phone
(406) 452-4527
Fax
(406) 453-1900
NPI assigned
Aug 2, 2005
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 540 MT Primary
Occupational Vision Optometrist 152WX0102X 540 MT

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) 452-4527

Other identifiers 1

IdentifierTypeStateIssuer
0482833MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000720 MT Practitioner - Optometry 4880739911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Montana Eyecare PCGroup PAC ID 7517289002, 6 clinicians

Practice addresses (Care Compare)

2012 14TH St SW
Great Falls, MT 59404-3412
Phone (406) 453-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
540MTMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Montana Eyecare PC Optometrist CurrentSince Oct 1, 2014 Accepting new patients

Locations

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

Organizations & group practices 1

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1497756340",
    "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": "406-452-4527",
            "fax_number": "406-453-1900"
        },
        {
            "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": "406-452-4527",
            "fax_number": "406-453-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "MINDY",
        "middle_name": "STERNER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "540",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MT",
            "license": "540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482833",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

Verify at the official NPI Registry.