Christiana Vanzant Montgomery, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1810 Issued in TN

Practice address

6150 Poplar Ave Ste 115
Memphis, TN 38119-4744

Phone

(901) 682-3937

Fax

(901) 683-6172

NPI assigned

Nov 2, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Southern Eyecare Associates Inc

  • Optometrist
  • Hixson, TN
  • NPI 1881625770
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1669550786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 CARRIAGE XING",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213263",
            "telephone_number": "423-894-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 POPLAR AVE STE 115",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194744",
            "telephone_number": "901-682-3937",
            "fax_number": "901-683-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5626 Brainerd Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374115310",
            "country_code": "US",
            "telephone_number": "423-899-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHRISTIANA",
        "middle_name": "VANZANT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5543T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Monteath, NP
• Jennifer Jill Monteil
• Montera Health Tennessee LLC
• Montera Health Tennessee LLC
• Morgan Tynes Monteverde, M.A., CCC-SLP
• Glynda Hardy Montgomery, RD, LDN
• Kiva Montgomery, B.S.W.
• Melissa Keeton Montgomery, PHARM.D.
• Ronald James Montgomery, DPT
• Van Alexander Montgomery, M.D.

• Optometrist in Memphis, TN
• Providers in Memphis, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.