MICHAEL MONTGOMERY OD PC NPI 1316078868

NPI Information

  • NPI: 1316078868
  • Provider Name: MICHAEL MONTGOMERY OD PC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Other Name: FAMILY EYECARE ASSOCIATES 43-1628740
  • Address: 279 E ELM
    LEBANON, MO
    ZIP 65536
  • Phone: (417) 532-2562

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NPI Details

MICHAEL MONTGOMERY OD PC is an ophthalmology in Lebanon, MO. 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. MICHAEL MONTGOMERY OD PC NPI is 1316078868. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Family Eyecare Associates 43-1628740.

The provider's business location address is:

279 E ELM
LEBANON, MO
ZIP 65536
Phone: (417) 532-2562

The provider's authorized official is Michael R Montgomery .
The authorized official title is Doctor Of Optometry and has the following contact phone number (417) 532-2562.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 3/14/2011.

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
1152W00000XOptometrist2552MISSOURINo
2332H00000XEyewear Supplier2552MISSOURINo
3207W00000XOphthalmologyTO2552MISSOURIYes

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
1000007845MEDICARE UPINMISSOURI
2T42763MEDICARE UPINMISSOURI
3000007845MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
4312368301MEDICAIDMISSOURI

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: 11/21/2025

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