MICHAEL MONTGOMERY OD PC – NPI #1316078868
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.

Health Care Provider Taxonomy Code for Ophthalmology

MICHAEL MONTGOMERY OD PC is an ophthalmologist located in LEBANON, MO. NPPES has assigned the NPI number 1316078868 to MICHAEL MONTGOMERY OD PC on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. MICHAEL MONTGOMERY OD PC is also known by the name FAMILY EYECARE ASSOCIATES 43-1628740. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 15 years ago on Mar 14, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL MONTGOMERY OD PC below.

NPI Profile for
MICHAEL MONTGOMERY OD PC

NPI Number
1316078868
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHAEL MONTGOMERY OD PC
Other Name: FAMILY EYECARE ASSOCIATES 43-1628740
Primary location
279 E ELM
LEBANON, MO 65536
Phone: (417) 532-2562 Fax:
Mailing address
PO BOX 248
279 EAST ELM
LEBANON, MO 65536-0248
Phone: (417) 532-2562 Fax: (417) 592-2409
Organization Subpart
No
Authorized Official
MICHAEL MONTGOMERY
DOCTOR OF OPTOMETRY
Phone: (417) 532-2562
Updated
Identifiers

Identifiers for MICHAEL MONTGOMERY OD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO312368301
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)		 MO TO2552
332H00000X
- Eyewear Supplier		 MO 2552
152W00000X
- Optometrist		 MO 2552

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.