Electric City Eyes

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELECTRIC CITY EYES

Practice address

905 10TH Ave S
Great Falls, MT 59405-4420

Phone

(406) 204-0074

Fax

(406) 204-0075

NPI assigned

Feb 5, 2024

Last updated

Feb 19, 2024By 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. Audra Sexton, O.D.NPI 1104175314

Title

Optometrist

Phone

(605) 484-9760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 1

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.

• Audra Nicole Sexton, O.D.

  • Optometrist
  • Great Falls, MT
  • NPI 1104175314
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1619730249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 2ND AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053559",
            "telephone_number": "406-204-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 10TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054420",
            "telephone_number": "406-204-0074",
            "fax_number": "406-204-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRIC CITY EYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "SEXTON",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "605-484-9760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Edmonds, LMFT
• Dominique Edwards
• Ronald T. Egan, MD
• Jerrold M Eichner, MD
• Michael David Eisenhauer, M.D.
• John Mellon Elibol, MD
• Elizabeth Seau LCSW (Elizabeth Seau)
• Carrieann Elkin, DDS
• Chad Michael Elkin, DDS
• Elkridge Recovery (True North Recovery)

• Optometrist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.