Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL R MONTGOMERY, OD
ActiveDR. MICHAEL R MONTGOMERY, OD is a Optometrist healthcare provider located in LEBANON, Missouri. NPI 1124002969 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LEBANON, MO
Registration Details
- NPI Number
- 1124002969
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2005 (20.688840610768 yrs)
- Last Updated
- Nov 27, 2012
- License
-
T02552 (MO)
Practice Information
- Address
-
279 E ELM STLEBANON, MO, 655363610Browse MO providers · Browse ZIP 65536
- Phone
- 4175322562
- Fax
- 4175322409
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LEBANON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. CYLINDA L. BUTLER | OD | 1922037639 |
| DR. MICHAEL NORMAN SOMMERS | OD | 1578570917 |
| DR. WILLIAM GRANT III | O.D. | 1144378480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.