Montgomery Eye Care

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

DR0039792 Issued in CO

Legal business name

MONTGOMERY EYE CARE

Practice address

8403 Bryant St
Westminster, CO 80031-3809

Phone

(727) 755-0693

NPI assigned

Feb 9, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ariana Bedoya

Title

Credentialing Specialist

Phone

(727) 755-0693

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Montgomery Eye Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Montgomery Eye Care PC

  • Ophthalmologic Surgery Clinic/Center
  • Northglenn, CO
  • NPI 1194133827
  NPD tax ID
• Montgomery Eye Care PC

  • Ophthalmology Physician
  • Northglenn, CO
  • NPI 1760602098
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1104284868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PARK PLACE BLVD",
            "address_2": "SUITE 500",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594904",
            "telephone_number": "727-755-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 BRYANT ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313809",
            "telephone_number": "727-755-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-755-0693"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CO",
            "license": "DR0039792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64170225",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Wendollyn Yadira Montano Zeledon
• Christina Briscoe Montano, DC
• Ted Montanye III
• Madison Montaudo, RBT
• Nicole Elizabeth Monteith, PT, DPT
• Montgomery Family Chiropractic LLC
• Damian Moore
• Emily Stewart Moore, MD
• Kristen Courtney Moore, MD
• Luke Moore, LPC, CAS

• Non-Pharmacy Dispensing Site in Westminster, CO
• Providers in Westminster, CO by specialty
• Non-Pharmacy Dispensing Site in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.