MICHAEL MONTGOMERY OD PC (NPI# 1316078868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316078868 |
| Entity Type | Organization |
| Organization Name | MICHAEL MONTGOMERY OD PC |
| Other Organization Name | FAMILY EYECARE ASSOCIATES 43-1628740 |
| Practice Address |
279 E Elm Lebanon MO 65536 |
| Mailing Address |
Po Box 248 279 East Elm Lebanon MO 65536-0248 |
| Practice Telephone | 4175322562 |
| Mailing Telephone | 4175322562 |
| Mailing Fax Number | 4175922409 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2011-03-14 |
| Authorized Official Name | DR. MICHAEL R MONTGOMERY (DOCTOR OF OPTOMETRY) |
| Authorized Official Telephone | 4175322562 |
| Authorized Official Credential | O.D., P.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2552 | MO | Eye and Vision Services Providers |
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2552 | MO | Suppliers |
| Y | 207W00000X | Ophthalmology | TO2552 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 312368301 | 05 |
| Other Name | Type Code |
|---|---|
| Family Eyecare Associates 43-1628740 | Other Name - Individual/Organization |
| Street Address |
279 E ELM |
| City | LEBANON |
| State | MO |
| Zip Code | 65536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427537307 | Cathy Jane Greenlee | Nurse Practitioner | 510 Hwy 32, Lebanon, MO 65536 | 2018-08-10 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1447629399 | Danielle Craig | Speech-Language Pathologist | 1200 Clark Ave, Lebanon, MO 65536 | 2015-09-22 |
| 1982080255 | Dawn Barker | Family Medicine | 331 Hospital Dr Ste C, Lebanon, MO 65536 | 2015-08-10 |
| 1194163840 | Laura Patton | Speech-Language Pathologist | 22864 Perimeter Drive, Lebanon, MO 65536 | 2013-06-04 |
| 1750588273 | Elaine Britzman | Registered Nurse | 874 S Jefferson St, Lebanon, MO 65536 | 2007-06-28 |
| 1538363486 | Laclede Co. Assoc. for Retarded Citizens | Respite Care | 200 Lawson Ave., Lebanon, MO 65536 | 2007-06-13 |
| 1568665768 | Fern M Klein | Registered Nurse | 874 S Jefferson, Lebanon, MO 65536 | 2007-06-06 |
| 1639201080 | Laclede County Assoc. for Retarded Citizens | Day Training, Developmentally Disabled Services | 200 Lawson Avenue, Lebanon, MO 65536 | 2007-03-12 |
| 1770610800 | Willie Sandoual Cortez | Internal Medicine | 547 East Elm, Lebanon, MO 65536 | 2007-02-27 |
| Find all providers in zip 65536 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487098927 | Christine Ann Rust | Ophthalmology | 1670 West Main St, Suite 100, Lebanon, TN 37087 | 2013-04-27 |
| 1881932432 | Lyle Moses | Ophthalmology | 19 Old Kings Hwy, Lebanon, NH 03766-2742 | 2013-01-16 |
| 1124158795 | David L Streisfeld Md PC | Ophthalmology | 834 Norman Drive, Lebanon, PA 17042 | 2007-03-06 |
| 1376609958 | Aaron Dent | Ophthalmology | 515 Cowan Dr, Lebanon, MO 65536-4604 | 2006-12-28 |
| 1437246824 | Arthur W Walsh | Ophthalmology | 56 Bank St, Lebanon, NH 03766 | 2006-10-06 |
| 1376597534 | Patrick J. Morhun, Md, Professional Corporation | Ophthalmology | 6 S Park St, Lebanon, NH 03766-1326 | 2006-05-20 |
| 1144273210 | Albert A Alley | Ophthalmology | 1510 Cornwall Road, Lebanon, PA 17042 | 2006-05-18 |
| 1366435174 | David L Streisfeld | Ophthalmology | 834 Norman Dr, Lebanon, PA 17042 | 2005-08-26 |
| 1740273952 | James William Bush | Ophthalmology | 770 Norman Dr, Lebanon, PA 17042-7495 | 2005-08-24 |
| 1609874320 | F Kirk Bowles | Ophthalmology | 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 | 2005-07-07 |
| Find all providers in LEBANON | ||||
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| 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.