Provider Demographics
NPI:1043285760
Name:CASCADE EYECARE INC
Entity Type:Organization
Organization Name:CASCADE EYECARE INC
Other - Org Name:CASCADE OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:MEGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-453-5405
Mailing Address - Street 1:PO BOX 2209
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59403-2209
Mailing Address - Country:US
Mailing Address - Phone:406-761-7741
Mailing Address - Fax:
Practice Address - Street 1:2 5TH ST N
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59401-4010
Practice Address - Country:US
Practice Address - Phone:406-761-7741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT55-00173Medicaid
MT000029738OtherBCBS
MT55-00173Medicaid