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MONTGOMERY & RIDDLE EYECARE PA NPI 1265476584


NPI Information

NPI: 1265476584
Provider Name: MONTGOMERY & RIDDLE EYECARE, PA

Former Legal Business Name: MONTGOMERY EYE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
22995 HIGHWAY 76 E
CLINTON, SC
ZIP 29325
Phone: (864) 833-0038
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MONTGOMERY & RIDDLE EYECARE, PA is an ophthalmology in Clinton, SC. The provider is 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. MONTGOMERY & RIDDLE EYECARE, PA NPI is 1265476584. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Montgomery Eye Associates.

The provider's business location address is:

22995 HIGHWAY 76 E
CLINTON, SC
ZIP 29325-529
Phone: (864) 833-0038
Fax: (864) 833-0520

The provider's authorized official is Samuel Jacob Montgomery .
The authorized official title is President and has the following contact phone number (864) 833-0038.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 3/15/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17427OTHERSOUTH CAROLINAMEDICARE GROUP NUMBER
2GP3567MEDICAIDSOUTH CAROLINA
3CJ9961OTHERSOUTH CAROLINARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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