Montgomery Eye Physicians P.C

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MONTGOMERY EYE PHYSICIANS P.C

Practice address

2752 Zelda Rd
Montgomery, AL 36106-2694

Phone

(334) 271-3804

Fax

(334) 270-3375

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Candice B Davis

Title

Chief Revenue Officer

Phone

(916) 990-7590

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Montgomery Eye Physicians P.C

  • Optometrist
  • Montgomery, AL
  • NPI 1093996951

  O20040819000939

  Same enrollment
• Montgomery Eye Physicians P.C

  • Ophthalmology Physician
  • Montgomery, AL
  • NPI 1871791897

  O20040819000939

  Same enrollment

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1720288632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062694",
            "telephone_number": "334-365-5643",
            "fax_number": "334-365-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2752 ZELDA RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062694",
            "telephone_number": "334-271-3804",
            "fax_number": "334-270-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EYE PHYSICIANS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "916-990-7590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery East Physical Therapy, LLC
• Montgomery East Physical Therapy, PC
• Montgomery Eye Care Associates, LLC
• Montgomery Eye Care Associates,LLC
• Montgomery Eye Physicians P.C
• Montgomery Eye Physicians P.C
• Montgomery Eye Surgery Center LLC (Montgomery Eye Surgery Center)
• Montgomery Eye Surgery Center LLC (The Montgomery Eye Surgery Center)
• Montgomery Family Medicine P.C. (Montgomery Sleep Sloutions)
• Montgomery Family Medicine, PC (Montgomery Family Medicine)

• Optometrist in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.