Michael R Montgomery in Lebanon - Optometrist
Michael R Montgomery - NPI 1124002969
Michael R Montgomery is a Optometrist in Lebanon, Missouri. Michael R Montgomery practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael R Montgomery is 1124002969. The last update date is 2012-11-27.
Michael R Montgomery's current location address is 279 E Elm St, Lebanon, Missouri. You can contact this provider via phone number 4175322562 and fax number 4175322409. The mailing address for Michael R Montgomery is 279 E Elm St, Lebanon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Montgomery |
|---|---|
| Address | 279 E Elm St, Lebanon, Missouri |
| Phone Number | 4175322562 |
| Fax Number | 4175322409 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1124002969 |
|---|---|
| Provider Enumeration Date | 2005-12-05 |
| Last Updated Date | 2012-11-27 |
Provider Mailing Address Detail
| Address | 279 E Elm St |
|---|---|
| City | Lebanon |
| State | Missouri (MO) |
| Post Code | 655363610 |
| Phone Number | 4175322562 |
| Fax Number | 4175322409 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | T02552 |
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Definition: 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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 117102 | BCBC-LEBABON LOCATION | ||
| 117105 | BCBS | ||
| 12603 | SPECTERA-LEBANON LOCATION | ||
| 312368319 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael R Montgomery?
The Michael R Montgomery has been issued the NPI (National Provider Identifier) 1124002969 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Michael R Montgomery's facilities are geographically located?
The facilities of Michael R Montgomery are physically situated at the following location: 279 E Elm St, Lebanon, MO, 655363610.
What is the Michael R Montgomery's area of specialization and corresponding taxonomy classification?
The Michael R Montgomery's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Michael R Montgomery receive the assignment of its 1124002969 from the Centers for Medicare & Medicaid Services?
The Michael R Montgomery was issued its 1124002969 by the Centers for Medicare & Medicaid Services on 2005-12-05.
When was the information pertaining to Michael R Montgomery most recently updated or revised?
The details related to Michael R Montgomery, including its address, specialty, and other relevant information, were last updated or revised on 2012-11-27.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC