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NPI Code Detail

MEDICARE: DR. TARA M PAUL O.D.

MEDICARE: DR. TARA M PAUL O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist5662MT
2152W00000XOptometrist5436 T2347OH

General Provider Information

NPI Number : 1427047893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TARA M PAUL O.D.
Provider Business Mailing Address
First Line : 511 CENTRAL AVE W
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-2848
Country : US
Telephone Number : 406-760-2055
Fax Number : 406-403-0276
Provider Business Practice Location Address
First Line : 425 SMELTER AVE NE
Second Line :
City : GREAT FALLS
State : MT
Zip : 59404-1927
Country : US
Telephone Number : 406-750-2055
Fax Number : 406-403-0276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 05/22/2026

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