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Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL JACOB GOUCHENOUR JR. OD (OPTOMETRIST)
(406) 289-0833
Entity
Organization

Contact information

Practice address
701 SMELTER AVE NE, GREAT FALLS, MT 59404-1940
(406) 604-8665
(406) 720-7963
Mailing address
701 SMELTER AVE NE, GREAT FALLS, MT 59404-1940
(406) 604-8665
(406) 720-7963

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
02/18/2026
Last updated
04/23/2026
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