Paris Montgomery, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34546TLG Issued in CA

Practice address

194 Hillsdale Shopping Center
San Mateo, CA 94403-3409

Phone

(650) 341-8080

Fax

(650) 341-8565

NPI assigned

Jul 20, 2020

Last updated

Jul 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flores Optometry Inc

  • Optometrist
  • San Leandro, CA
  • NPI 1326365032
  Medicare reassignment NPD
• William Y. to, O.D., Inc

  dba Lifetime Eyecare by Optical Illusions

  • Optometrist
  • San Mateo, CA
  • NPI 1700448925

  AK

  Medicare reassignment NPD
• Michael J Bennett

  dba Lifetime Eyecare

  • Optometrist
  • Juneau, AK
  • NPI 1053503698
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1134737794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 HILLSDALE SHOPPING CENTER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033409",
            "telephone_number": "650-341-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "194 HILLSDALE SHOPPING CENTER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033409",
            "telephone_number": "650-341-8080",
            "fax_number": "650-341-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1332 E 14th St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945774714",
            "country_code": "US",
            "telephone_number": "510-614-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "PARIS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34546TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saralee Monrroy
• Melissa Montellano
• Daisy Gonzales Montesa
• Diana M Montesdeoca, BEHAVIORAL THERAPIST
• Julene Montgomery, CNC
• Diego Montoya
• Melanie Cheryl Montoya
• Mitchell Montoya
• Cassie Moody
• Tom D Mooney III, D.C.

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.