Dr Michael R Montgomery, OD | |
279 E Elm St, Lebanon, MO 65536-3610 | |
(417) 532-2562 | |
(417) 532-2409 |
Full Name | Dr Michael R Montgomery |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 279 E Elm St, Lebanon, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124002969 | NPI | - | NPPES |
117102 | Other | BCBC-LEBABON LOCATION | |
117105 | Other | BCBS | |
12603 | Other | SPECTERA-LEBANON LOCATION | |
312368319 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T02552 (Missouri) | Primary |
Provider Name | Michael Montgomery Od Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316078868 PECOS PAC ID: 1355449414 Enrollment ID: O20100623000380 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael R Montgomery, OD 279 E Elm St, Lebanon, MO 65536-3610 Ph: (417) 532-2562 | Dr Michael R Montgomery, OD 279 E Elm St, Lebanon, MO 65536-3610 Ph: (417) 532-2562 |
Butler Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 702 Owens Dr, Lebanon, MO 65536 Phone: 417-839-3721 | |
Dr. William Grant Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 19595 Houston Rd, Lebanon, MO 65536 Phone: 417-532-9613 | |
Family Eyecare Associates 43-1628740 Optometrist Medicare: Medicare Enrolled Practice Location: 279 E Elm, Lebanon, MO 65536 Phone: 417-532-2562 | |
Mattax Neu Prater Eye Center, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 430 N Jefferson Ave, Lebanon, MO 65536 Phone: 417-886-3937 Fax: 417-886-1285 | |
Dr. Michael Norman Sommers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1800 S Jefferson Ave, Lebanon, MO 65536 Phone: 417-533-5466 Fax: 417-533-5480 | |
Mercy Clinic-lebanon-eye Specialists Optometrist Medicare: Medicare Enrolled Practice Location: 331 Hospital Dr, Suite E, Lebanon, MO 65536 Phone: 417-533-7540 Fax: 417-533-6550 |