Organization Active NPI

Montgomery Optics, LLC

Doing business as Visionary Eye Center

  • Optometrist
  • Ozark, MO
National Provider Identifier
1831384908
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2006018240 Issued in MO
Legal business name
MONTGOMERY OPTICS, LLC
Doing business as
Visionary Eye Center
Practice address
1423 W State Highway J
Ozark, MO 65721-7473
Phone
(417) 582-2020
Fax
(417) 582-2027
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Laura Beth Montgomery, O.D.
Title
Optometrist/Owner
Phone
(417) 582-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2006018240 MO Primary

Addresses

Primary practice location

1423 W State Highway J
Ozark, MO 65721-7473

Mailing address

1423 W State Highway J
Ozark, MO 65721-7473
Phone (417) 582-2020

Other names 1

  • Visionary Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

1423 W State Highway J
Ozark, MO 65721
Phone (417) 581-1300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1831384908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-582-2020",
            "fax_number": "417-582-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 W STATE HIGHWAY J",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217473",
            "telephone_number": "417-582-2020",
            "fax_number": "417-582-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY OPTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "417-582-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006018240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.