Montgomery & Riddle Eyecare, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MONTGOMERY & RIDDLE EYECARE, PA

Practice address

22995 Highway 76 E
Clinton, SC 29325-7529

Phone

(864) 833-0038

Fax

(864) 833-0520

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Jacob Montgomery Jr., M.D.

Title

President

Phone

(864) 833-0038

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Montgomery Eye Associates Former legal business name

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy L. Austin, M.D.

  • Ophthalmology Physician
  • Greenwood, SC
  • NPI 1184621443
  NPD (past)
• Jerry E Galloway, MD

  • Ophthalmology Physician
  • Greenwood, SC
  • NPI 1134128630
  NPD (past)
• Jennifer Lynn Hershberger, M.D.

  • Ophthalmology Physician
  • Greenwood, SC
  • NPI 1003013970
  NPD (past)
• Katherine Hershberger Hudgens

  • Physician Assistant
  • Spartanburg, SC
  • NPI 1053656140
  NPD (past)
• Stephanie C. Turner, M.D.

  • Ophthalmology Physician
  • Greenwood, SC
  • NPI 1548267800
  NPD (past)
• Brian Patrick Vahjen, M.D.

  • Ophthalmology Physician
  • Greenwood, SC
  • NPI 1649398579
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1265476584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22995 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257529",
            "telephone_number": "864-833-0038",
            "fax_number": "864-833-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22995 HIGHWAY 76 E",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257529",
            "telephone_number": "864-833-0038",
            "fax_number": "864-833-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY & RIDDLE EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-833-0038",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ9961",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "7427",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3567",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Eye Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicole A Meier, RD
• Edith Louise Messina, OTR/L
• Diane Susan Milam, M.ED.
• Phillip H Milner, D.O.
• Kendrick Mines
• Samuel Jacob Montgomery Jr., M.D.
• Katherine Gerrald Moore, PHARMD
• Sara P Moore
• Tamara Morton, LPC-A
• Jittin Thakor Muljibhai, D.O.

• Ophthalmology Physician in Clinton, SC
• Providers in Clinton, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.