Active NPI
Brian Montgomery, O.D.
- Optometrist
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4668T1443
- Practice address
- 17273 State Route 104
Chillicothe, OH 45601-8608 - Phone
- (740) 773-1141
- NPI assigned
- Jan 22, 2007
- Last updated
- Apr 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4668T1443 | OH | Primary |
| Optometrist | 152W00000X | 1669 | NC | |
| Optometrist | 152W00000X | 18004385A | IN |
Addresses
Primary practice location
17273 State Route 104
Chillicothe, OH 45601-8608
Mailing address
78 Marca Dr
Lucasville, OH 45648-8531
Phone (740) 259-3051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1031 Grandiflora Dr
Leland, NC 28451-7453
Phone (910) 371-0540
1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332
3501 Oleander Dr
Suite 7
Wilmington, NC 28403-0824
Phone (910) 254-9292
368 S Hamilton Rd
Gahanna, OH 43230-3350
Phone (614) 478-7474
402 Premium Outlets Dr
Monroe, OH 45050-1832
Phone (513) 360-0113
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4668T1443 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Dr Claffie and Associates | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Dr Claffie and Associates | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Family First Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Dr Claffie and Associates | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Current | Accepting new patients |
| Thurmond Eye Associates OD, PA | Current | Accepting new patients | |
| Camel City Optometric, P.a. | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Past | Accepting new patients |
| Eye Care Associates OD PA | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina PLLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of North Carolina, PLLC | Optometrist | Past | Accepting new patients |
Locations (25 of 54)
8925 Ridgeline Blvd
Ste 107
Highlands Ranch, CO 80129
Phone (303) 791-2727
2224 Cassopolis St
Elkhart, IN 46514
Phone (574) 206-1533
9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200
11088 US 15 501 Hwy
Unit 925
Aberdeen, NC 28315
Phone (910) 693-1226
2835 S Church St
Burlington, NC 27215
Phone (336) 584-0505
310 S Church St
Burlington, NC 27215
Phone (336) 222-1720
313 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3010
1975 High House Rd
Cary, NC 27519
Phone (919) 461-0771
2075 Renaissance Park Pl
Cary, NC 27513
Phone (919) 391-7224
11030 Golf Links Dr
Ste 204
Charlotte, NC 28277
Phone (704) 943-5110
1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332
11761 US Highway 70 Bus W
Clayton, NC 27520
Phone (919) 533-5600
7001 Fayetteville Rd
Ste 105
Durham, NC 27713
Phone (919) 861-9178
812 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-2020
326 Glensford Dr
Ste 108
Fayetteville, NC 28314
Phone (910) 864-6070
7075 White Oak Rd
Garner, NC 27529
Phone (919) 861-9177
860 Summit Crossing Pl
Ste 110
Gastonia, NC 28054
Phone (704) 865-3937
3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930
411A Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 790-3502
2490 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 752-4844
3535 S Memorial Dr
Greenville, NC 27834
Phone (252) 353-3111
3911 Fountain Grove Dr
High Point, NC 27265
Phone (336) 889-2225
1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020
1007 W Vernon Ave
Kinston, NC 28501
Phone (252) 523-2020
215 Lauchwood Dr
#A
Laurinburg, NC 28352
Phone (910) 276-1993
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Primary Care Clinic/Center
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- NPI 1962521690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1568516458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MARCA DR",
"city": "LUCASVILLE",
"state": "OH",
"postal_code": "456488531",
"telephone_number": "740-259-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17273 STATE ROUTE 104",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018608",
"telephone_number": "740-773-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4668T1443",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1669",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004385A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.