NPI 1700739901 · live from the CMS NPI Registry
Samuel Jacob Gouchenour, O.D.
Optometrist in Great Falls, MT. National Provider Identifier 1700739901, active.
NPI record
| NPI | 1700739901 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 3226 10th Ave S, Great Falls, MT 59405 |
| Practice phone | 406-289-0833 |
| Enumerated | February 17, 2026 |
| Last updated | August 20, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | OPT-OPT-LIC-5669 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.