MEDICARE: CASCADE EYECARE INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000029738	OTHER	MT	BCBS

General Provider Information

NPI Number	:	1043285760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADE EYECARE INC

Provider Business Mailing Address
First Line	:	PO BOX 2209
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59403-2209
Country	:	US
Telephone Number	:	406-761-7741
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 5TH ST N
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-4010
Country	:	US
Telephone Number	:	406-761-7741
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. GERALD E MEGUIRE
Credential	:	OD
Telephone Number	:	406-453-5405

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	11/06/2009

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Directions to “CASCADE EYECARE INC ” Practice Location

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