Active NPI
Kristen Montgomery, O.D.
- Optometrist
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002131
- Practice address
- 19814 Century Blvd
Germantown, MD 20874-1198 - Phone
- (301) 540-1200
- Fax
- (301) 528-9746
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA2306 | MD | |
| Optometrist | 152W00000X | 0618002131 | VA | Primary |
Addresses
Primary practice location
19814 Century Blvd
Germantown, MD 20874-1198
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002131 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Rockville Optometry, LLC | Optometrist | Current | Accepting new patients |
| Dulles Optometry, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Virginia, PLLC | Optometrist | Current | Accepting new patients |
| Ballston Optometry, LLC | Optometrist | Past | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111
14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050
44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600
7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300
5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336
1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020
22000 Dulles Retail Plz
Ste 168
Sterling, VA 20166
Phone (703) 421-3322
1950 Old Gallows Rd
Ste 100
Vienna, VA 22182
401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Sterling, VA
- NPI 1699956136
-
- Optometrist
- Ashburn, VA
- NPI 1174933691
-
- Optometrist
- Germantown, MD
- NPI 1225407521
-
- Optometrist
- MC Lean, VA
- NPI 1447628284
-
- Optometrist
- North Chesterfield, VA
- NPI 1932075983
-
- Optometrist
- Silver Spring, MD
- NPI 1336204387
-
- Optometrist
- Arlington, VA
- NPI 1083779094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1083979173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19814 CENTURY BLVD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208741198",
"telephone_number": "301-540-1200",
"fax_number": "301-528-9746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KRISTEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA2306",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.