Alan K Montgomery OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002313 Issued in MI

Legal business name

ALAN K MONTGOMERY OD

Practice address

55021 M 51 N
Dowagiac, MI 49047

Phone

(269) 782-3476

Fax

(269) 782-6631

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan K Shire, CPOT/ABOC

Title

Technician/Office Manager

Phone

(269) 782-3476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1932370848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55021 M 51 N",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "49047",
            "telephone_number": "269-782-3476",
            "fax_number": "269-782-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55021 M 51 N",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "49047",
            "telephone_number": "269-782-3476",
            "fax_number": "269-782-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN K MONTGOMERY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "SHIRE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "TECHNICIAN/OFFICE MANAGER",
        "authorized_official_telephone_number": "269-782-3476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPOT/ABOC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Place Called Home
• Advanced Chiropractic of Dowagiac (Health Source of Dowagiac)
• Syed Aftab
• S M Masroor Afzal
• Lisa D Andersen, LPN
• John Albert Anible II, D.D.S.
• Apex Drug Stores Inc (Rite Aid Pharmacy 04401)
• Ascension Borgess Lee Hospital (Borgess Lee Medical Group)
• Ascension Borgess Lee Hospital (Borgess Lee Memorial Hospital)

• Optometrist in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.