Individual provider Active NPI

Brian Montgomery, O.D.

  • Optometrist
  • Chillicothe, OH
National Provider Identifier
1568516458
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4668T1443 Issued in OH
Practice address
17273 State Route 104
Chillicothe, OH 45601-8608
Phone
(740) 773-1141
NPI assigned
Jan 22, 2007
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20171013002037 OH Practitioner - Optometry 6204101454 Reassigns benefits to 3 organizations
I20230602000750 NC Practitioner - Optometry 6204101454 Reassigns benefits to 4 organizations
I20240325001597 IN Practitioner - Optometry 6204101454 Reassigns benefits to 1 organization

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
Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians
Dr Claffie and AssociatesGroup PAC ID 2365566510, 6 clinicians

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

LicenseStateTypeSpecialty
4668T1443OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Apr 23, 2023 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Dec 23, 2023 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 7, 2024 Accepting new patients
Dr Claffie and Associates Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Family First Vision Care, LLC Optometrist CurrentSince Aug 28, 2017 Accepting new patients
Eye Care Associates of Co LLC Optometrist CurrentSince Apr 23, 2023 Accepting new patients
Dr Claffie and Associates Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Mar 7, 2024 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Dec 23, 2023 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Thurmond Eye Associates OD, PA CurrentSince May 23, 2023 Accepting new patients
Camel City Optometric, P.a. Optometrist CurrentSince May 23, 2023 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 PastSince Feb 23, 2025 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.

View all 21

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

Verify at the official NPI Registry.