FRED D. ABRAHAM (NPI# 1760441828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760441828 |
| Entity Type | Individual |
| Full Name | FRED D. ABRAHAM |
| Credential | OD |
| Practice Address |
2800 11th Ave S Ste 14 Great Falls MT 59405-5263 |
| Practice Telephone | 4064552020 |
| Mailing Telephone | 4064552020 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2012-10-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4435 T1159 | OH | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 834 | MT | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0932003 | 05 |
| Street Address |
2800 11TH AVE S STE 14 |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59405-5263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811149693 | Tomas Nicolas Padilla Jr. | Ophthalmology | 2800 11th Ave S Ste 14, Great Falls, MT 59405-5263 | 2008-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902446180 | Reilly Kunz | Physical Therapist | 2621 15th Ave South, Great Falls, MT 59405 | 2020-01-15 |
| 1336617224 | Brandi Noel Sauer | Behavior Technician | 1601 2nd Ave North Suite 518, Great Falls, MT 59405 | 2018-11-08 |
| 1982103446 | Traci Raines Aprn Pllc | Nurse Practitioner | 120 Marillyn Dr, Great Falls, MT 59405 | 2018-02-09 |
| 1003332818 | Great Falls Health Supplies | Durable Medical Equipment & Medical Supplies | 1720 10th Ave., South, Suite 4-151, Great Falls, MT 59405 | 2017-08-15 |
| 1518489426 | Jessica Lynn Keller | Specialist/Technologist | 720 46th Street South, Great Falls, MT 59405 | 2017-07-12 |
| 1235678475 | Vanessa Claudia Hernandez | Occupational Therapist | 2621 15 Ave So, Great Falls, MT 59405 | 2017-02-21 |
| 1871039339 | Morgan Laux Olsen | Specialist/Technologist | 1301 20th St S, Great Falls, MT 59405 | 2017-01-09 |
| 1558807198 | Greg Robert Lipton | Occupational Therapist | 2621 15th Ave So, Great Falls, MT 59405 | 2017-01-06 |
| 1386180925 | Jessica Lee Krahn | Physical Therapist | 2621 15th Ave So., Great Falls, MT 59405 | 2017-01-06 |
| 1811430150 | Juli Brandvold | Massage Therapist | 2400 4th Ave S., Great Falls, MT 59405 | 2016-11-18 |
| Find all providers in zip 59405 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1740430149 | Family Eye Care, LLC | Optometrist | 501 Central Ave, Great Falls, MT 59401-3117 | 2008-09-23 |
| 1811105778 | Joy Saxon Poppell | Optometrist | 1900 4th St Ne Ste 5, Great Falls, MT 59404-1960 | 2007-05-21 |
| 1114061256 | Kenneth A Ethier | Optometrist | 1525 10th Ave S, Great Falls, MT 59405-2608 | 2007-02-19 |
| 1336205632 | Alexander C Archibald | Optometrist | 1717 4th St S, Great Falls, MT 59405-4133 | 2006-12-29 |
| 1053477679 | James W Reeves | Optometrist | 11 5th St N, Suite 101, Great Falls, MT 59401-3268 | 2006-12-28 |
| 1891890364 | Lowell T More | Optometrist | 35 Prospect Dr, Great Falls, MT 59405-4123 | 2006-09-13 |
| 1578596425 | Shon Anthony Weaver | Optometrist | 701 Smelter Ave Ne, Vision Center, Great Falls, MT 59404-1940 | 2006-07-07 |
| 1366493231 | Anthony Charles Turk | Optometrist | 1012 1st Ave North, Great Falls, MT 59404 | 2006-05-15 |
| 1770543779 | Eye Clinic of Great Falls, P.C. | Optometrist | 509 2nd Ave N, Great Falls, MT 59401 | 2006-03-24 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59405 |
Please comment or provide details below to improve the information on FRED D. ABRAHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.