Dr. Kenneth A. Ethier Od PC
NPI 1558719104ActiveOrganization· Optometrist· Great Falls, MT
Optometrist in Great Falls, Montana, registered in NPPES in May 2016. The authorized official on file is Kenneth A. Ethier, OD PC, Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558719104 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2016 |
| Last updated in NPPES | Oct 27, 2025 |
| Certified by provider | Oct 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 751 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
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