Organization Active NPI

Christiana V. Montgomery, O.D., P.C.

  • Optometrist
  • Chattanooga, TN
National Provider Identifier
1417127150
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT1810 Issued in TN
Legal business name
CHRISTIANA V. MONTGOMERY, O.D., P.C.
Practice address
5626 Brainerd Rd
Chattanooga, TN 37411-5310
Phone
(423) 899-2905
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Christiana Vanzant Montgomery, O.D.
Title
President/ Optometrist
Phone
(423) 899-2905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODT1810 TN Primary

Addresses

Primary practice location

5626 Brainerd Rd
Chattanooga, TN 37411-5310

Mailing address

5626 Brainerd Rd
Chattanooga, TN 37411-5310
Phone (423) 899-2905

National Provider Directory

National Provider Directory

Locations

5626 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 899-2031

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1417127150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-899-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5626 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-899-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA V. MONTGOMERY, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "VANZANT",
        "authorized_official_title_or_position": "PRESIDENT/ OPTOMETRIST",
        "authorized_official_telephone_number": "423-899-2905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT1810",
            "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 Mar 10, 2008; 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.