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Active NPI 1114061256 Individual Practitioner Male Practitioner

Dr. Kenneth A Ethier , OD

Optometrist • Great Falls, MT

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Ethier, OD is a registered healthcare professional specializing in Optometrist in Great Falls, MT. Practice services are available at 1525 10TH AVE S under active NPI credentials.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1525 10th Ave S

Great Falls, MT 594052608

Telephone 4067915139
Associated Practice Facility / Clinic
🏢 Eyemart Express Ltd Facility NPI 1114354958

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Great Falls, MT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 21.6 Yrs
Regional Practice Density
32 Specialists

Practicing in Great Falls, MT (258 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
18 18 $60.00 $36.21
99213 Established patient office or other outpatient visit, typically 15 minutes
18 17 $144.44 $89.59
92014 Established patient complete exam of visual system
17 17 $150.00 $123.15

Medical Specialties & State Licenses

CMS Verified: 2025-10-27
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MT 751

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
807265600 (ID)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 05, 2018

Registered at 1525 10TH AVE S, GREAT FALLS, MT 594052608 (Tel: 4067915139)

NPI Profile Active March 25, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2014

Registered at 1025 10TH AVENUE SOUTH, GREAT FALLS, MT 59405 (Tel: 4067915139)

📍
Updated Business Mailing Address March 25, 2014

Registered at 1025 10TH AVENUE SOUTH, GREAT FALLS, MT 59405 (Tel: 4067915139)

👤
Provider Name / Credentials Updated March 25, 2014

Recorded as KENNETH ETHIER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2014

Optometrist (License #751 in MT)

🟢
Initial NPI Registration & Enumeration February 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114061256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2007
Last Update: October 27, 2025
Sole Proprietor: Yes

Mailing Address

1025 10th Avenue South

Great Falls, MT 59405

Phone: 4067915139

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.