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

Primary specialty

OptometristTaxonomy code 152W00000X

License

5543T Issued in TX

Legal business name

CHRISTIANA V. MONTGOMERY,O.D.,P.C.

Practice address

2400 Richmond Rd
# 64
Texarkana, TX 75503-2466

Phone

(903) 223-6508

Fax

(903) 223-6589

NPI assigned

Aug 6, 2007

Organization subpart

No

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

Optometrist/President

Phone

(903) 223-6508

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1508057431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 RICHMOND RD",
            "address_2": "# 64",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032466",
            "telephone_number": "903-223-6508",
            "fax_number": "903-223-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 RICHMOND RD",
            "address_2": "# 64",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032466",
            "telephone_number": "903-223-6508",
            "fax_number": "903-223-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA V. MONTGOMERY,O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "VANZANT",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "903-223-6508",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5543T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUESHIELD TX",
            "identifier": "81574Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles R. Gordon MD PA
• Candace Ann Chauncy, APN
• Subba Rao Chennupati, M.D
• Monica Choate, LVN
• Chris S. Potts, D.D.S.,P.a.
• Christopher Primeaux Chiropractic P.a.
• Christus Health Ark-la-Tex
• Christus Health Ark-la-Tex
• Christus Health Ark-la-Tex
• Christus Health Ark-la-Tex

• Optometrist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.