Samuel Jacob Gouchenour Jr., O.D.
NPI 1700739901ActiveIndividual· Optometrist· Great Falls, MT
Optometrist (O.D.) in Great Falls, Montana, licensed in MT, with an NPI issued in February 2026. Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1700739901 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | Yes |
| NPI issued | Feb 17, 2026 |
| Last updated in NPPES | Aug 20, 2026 |
| Certified by provider | Aug 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | OPT-OPT-LIC-5669 | MT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MT) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Optometry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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