NPIMap

Organization Active NPI

Lackawanna Eye Associates LLC

  • Optometrist
  • Dickson City, PA
National Provider Identifier
1508088121
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001862 Issued in PA
Legal business name
LACKAWANNA EYE ASSOCIATES LLC
Practice address
900 Commerce Blvd
Dickson City, PA 18519
Phone
(570) 383-3373
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Raymond Montague, OD
Title
Owner
Phone
(860) 371-5662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001862 PA Primary

Addresses

Primary practice location

900 Commerce Blvd
Dickson City, PA 18519

Mailing address

Rd 1 Craig Road Box 307
Dalton, PA 18414
Phone (860) 371-5662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508088121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RD 1 CRAIG ROAD BOX 307",
            "city": "DALTON",
            "state": "PA",
            "postal_code": "18414",
            "telephone_number": "860-371-5662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COMMERCE BLVD",
            "city": "DICKSON CITY",
            "state": "PA",
            "postal_code": "18519",
            "telephone_number": "570-383-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-371-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.