Stephanie Leann Montgomery, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-C52-TA-891 Issued in AL

Practice address

101 Fly Creek Ave Ste 307
Fairhope, AL 36532-8310

Phone

(251) 383-2052

Fax

(251) 383-2062

NPI assigned

Jun 28, 2011

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

Other names 1

• Dr. Stephanie Leann Baker Former name

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eastern Shore Eye Care, PC

  • Optometrist
  • Fairhope, AL
  • NPI 1932294386
  Medicare reassignment NPD

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1295021210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 S MEADOWS DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324474",
            "telephone_number": "423-580-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE STE 307",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328310",
            "telephone_number": "251-383-2052",
            "fax_number": "251-383-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365353534",
            "country_code": "US",
            "telephone_number": "251-943-5115",
            "fax_number": "251-943-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "STEPHANIE",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-C52-TA-891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BAKER",
            "middle_name": "LEANN",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chris Mitchum, MA, ALC
• Mobile Bay Counseling, LLC
• Mobile Wound Care of Alabama LLC
• Molly Cameron
• Richard Monroe, LPC
• Margaret T Moore, M.D.
• Sally Wong Moore, O.D.
• Julia Morgan, RN
• Kelley O'Conor Morgan
• Caroline Morris, PMHNP

• Optometrist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.