Ross Montgomery, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

002776 Issued in GA

Practice address

1105 Morningside Dr
Perry, GA 31069-2905

Phone

(478) 987-2020

NPI assigned

May 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Pennsylvania College of Optometry, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Second Sight LLCGroup PAC ID 9638570765, 3 clinicians

Side Eye LLCGroup PAC ID 4183046733, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Second Sight LLC

  • Optometrist
  • Griffin, GA
  • NPI 1467032771
  Medicare reassignment Care Compare group NPD Authorized official
• Side Eye LLC

  • Optometrist
  • Newnan, GA
  • NPI 1881224681
  Medicare reassignment Care Compare group NPD
• Eyecare Plus LLC

  • Corneal and Contact Management Optometrist
  • Peachtree City, GA
  • NPI 1245429539
  Medicare reassignment NPD
• Reagin Decatur Group, LLC

  • Health Service Clinic/Center
  • Decatur, GA
  • NPI 1770002693
  Medicare reassignment NPD

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1639580004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 JEFFERSON ST",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631948",
            "telephone_number": "770-254-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MORNINGSIDE DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692905",
            "telephone_number": "478-987-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002776",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Middle Georgia Primary Care
• Middle Georgia Primary Care, PC
• Savanna Millican
• Shatasha Mitchell, LPC
• Skylar Mizell, DMD
• Jasia L Moody
• Sarah Jennings Moody, OTR/L
• Amanda Gail Moore, LMFT
• Teah Moore, PHD
• Karina Moreles, RN, BSN

• Corneal and Contact Management Optometrist in Perry, GA
• Providers in Perry, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.