Landon Montierth, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002796 Issued in AZ

Practice address

9837 W Yukon Dr
Peoria, AZ 85382-2276

Phone

(520) 268-6622

NPI assigned

Aug 28, 2014

Last updated

Jun 18, 2024By the provider in NPPES

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 AZ

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: landon.montierth.p20@direct.avp.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwestern Eye Center LTD

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1023063187
  Medicare reassignment Care Compare group NPD
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  Medicare reassignment NPD
• Tracy J Montierth

  dba Family Eye Center

  • Optometrist
  • Safford, AZ
  • NPI 1265398788
  NPD Authorized official
• Tracy Jon Montierth, O.D.

  • Optometrist
  • Safford, AZ
  • NPI 1447385802
  Medicare reassignment
• Southwestern Eye Center, LTD

  • Durable Medical Equipment & Medical Supplies
  • Tempe, AZ
  • NPI 1558102608

  Optometrist

  NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1871993758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9837 W YUKON DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822276",
            "telephone_number": "520-268-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9837 W YUKON DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822276",
            "telephone_number": "520-268-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7862 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857046315",
            "country_code": "US",
            "telephone_number": "520-829-0951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2325 E Fry Blvd",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856352713",
            "country_code": "US",
            "telephone_number": "520-226-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "SoundPoint Hearing Centers",
            "address_2": "12470 N. Rancho Vistoso Blvd Suite 120",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "85755",
            "country_code": "US",
            "telephone_number": "520-407-6623",
            "fax_number": "520-407-6277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1151 S La Canada Dr",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856141943",
            "country_code": "US",
            "telephone_number": "520-407-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "LANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-28",
        "last_updated": "2024-06-18",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT002796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montana Medical Supplies LLC
• Denise Monterroso
• Carlos Del Valle Montes Domini, M.D.
• Jennifer Mary Montgomery, LCSW
• Kizuwanda Montgomery
• Cari Michelle Montoya, FNP
• Liliana Montoya
• Ada Monyeki
• Carrie Marie Moody, RDN
• Hannah Palisoc Mooi, OTR

• Optometrist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.