Organization Active NPI

Monty S. Riley, O.D., P.C.

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1124216973
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T1416 Issued in TN
Legal business name
MONTY S. RILEY, O.D., P.C.
Practice address
314 Northgate Mall
Chattanooga, TN 37415-6922
Phone
(423) 875-3060
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Dr. Monty S. Riley, O.D.
Title
President
Phone
(423) 875-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T1416 TN Primary

Addresses

Primary practice location

314 Northgate Mall
Chattanooga, TN 37415-6922

Mailing address

3217 Alta Vista Dr
Chattanooga, TN 37411-4102
Phone (423) 875-3060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1124216973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 ALTA VISTA DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114102",
            "telephone_number": "423-875-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 NORTHGATE MALL",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374156922",
            "telephone_number": "423-875-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTY S. RILEY, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MONTY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-875-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "T1416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.