Montague Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MONTAGUE VISION LLC

Practice address

1129 Quentin Rd
Lebanon, PA 17042-6915

Phone

(717) 272-7059

Fax

(717) 272-2155

NPI assigned

Aug 8, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Paul R Montague, ODNPI 1881663599

Title

President

Phone

(570) 687-7943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Montague, O.D.

  • Optometrist
  • Lebanon, PA
  • NPI 1881663599
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1780239525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "CONYNGHAM",
            "state": "PA",
            "postal_code": "182190310",
            "telephone_number": "570-687-7943",
            "fax_number": "717-685-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 QUENTIN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426915",
            "telephone_number": "717-272-7059",
            "fax_number": "717-272-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGUE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-687-7943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matin Mohammad, MD
• Ronnie A Mohammed, MD
• Kristl L Molina, CRNP
• Nicholas Molina, LSW
• Tiffany Moll
• Paul Montague, O.D.
• Jacob Moore
• Michelle Moore, LPN
• Paul Derek Moore, MD
• Susan Moore

• Optometrist in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.