Individual
DR. MORGAN R. LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 4TH ST NE, SUITE 5, GREAT FALLS, MT 59404-1996
(406) 453-1900
(406) 453-1700
Mailing address
1900 4TH ST NE, SUITE 5, GREAT FALLS, MT 59404-1996
(406) 453-1900
(406) 453-1700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
534 OPT
MT
152WX0102X
Occupational Vision Optometrist
534 OPT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027590
BCBS OF MT
MT
05
—
0481202
—
MT
01
—
0679000001
DMERC
MT
01
—
410041206
RAIL ROAD MEDICARE
MT
Enumeration date
05/31/2005
Last updated
10/24/2014
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