Paul Montague, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002643 Issued in CT

Practice address

1129 Quentin Rd
Lebanon, PA 17042-6915

Phone

(717) 272-7059

Fax

(717) 272-2155

NPI assigned

Mar 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Montague Vision LLC

  • Optometrist
  • Lebanon, PA
  • NPI 1780239525
  Medicare reassignment NPD Authorized official
• Roger Hirons OD LLC

  • Optometrist
  • West Hartford, CT
  • NPI 1972647360
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1881663599",
    "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": {
        "last_name": "MONTAGUE",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie A Mohammed, MD
• Kristl L Molina, CRNP
• Nicholas Molina, LSW
• Tiffany Moll
• Montague Vision LLC
• Jacob Moore
• Michelle Moore, LPN
• Paul Derek Moore, MD
• Susan Moore
• Susan Lynn Moore, NP

• 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; 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.