Tracy Jon Montierth, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

776 Issued in AZ

Practice address

1502 S 1St Ave Ste 8
Safford, AZ 85546-2143

Phone

(928) 428-4360

Fax

(928) 424-4361

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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 AZ

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

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 1

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

• Landon Montierth, OD

  • Optometrist
  • Peoria, AZ
  • NPI 1871993758
  Medicare reassignment

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.

• Tracy J Montierth

  • Optometrist
  • Safford, AZ
  • NPI 1265398788
  NPD

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1447385802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 S 1ST AVE STE 8",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462143",
            "telephone_number": "928-428-4360",
            "fax_number": "928-424-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 S 1ST AVE STE 8",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462143",
            "telephone_number": "928-428-4360",
            "fax_number": "928-424-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "TRACY",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Millennium Medical Supply
• Tanya Miller
• Shayleh Moffett, WHNP
• Bradford N. Montierth, M.D
• Jeanette Marcroft Montierth, LAC
• Nicole Kindness Mortensen, CNM, WHNP
• Karen Lynn Moskal
• Mount Graham Dental Associates PLC
• Mount Graham Family Medicine Practice,P.C.
• Mountain View Anesthesia, PC

• Optometrist in Safford, AZ
• Providers in Safford, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.