Active NPI
Diane M Gray, O.D.
- Optometrist
- Helena, MT
National Provider Identifier
1528120714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 432
- Practice address
- 534 N Last Chance Gulch St
Helena, MT 59601-3303 - Phone
- (406) 442-6814
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- 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 | 432 | MT | Primary |
Addresses
Primary practice location
534 N Last Chance Gulch St
Helena, MT 59601-3303
Mailing address
PO Box 844
Helena, MT 59624-0844
Phone (406) 442-6814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0480441 | 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 |
|---|---|---|---|
| 432 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200441600000",
"number": "1528120714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844",
"city": "HELENA",
"state": "MT",
"postal_code": "596240844",
"telephone_number": "406-442-6814",
"fax_number": "406-443-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 N LAST CHANCE GULCH ST",
"city": "HELENA",
"state": "MT",
"postal_code": "596013303",
"telephone_number": "406-442-6814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "DIANE",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2008-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0480441",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.