Joel Mark Montemayor, ABO,NCLE,LDO

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2369I Issued in AZ

Practice address

1725 W Hunt Hwy
San Tan Valley, AZ 85143-5203

Phone

(480) 358-4346

NPI assigned

Jan 20, 2025

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1982415717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33559 N NORTH BUTTE DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851446388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HUNT HWY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435203",
            "telephone_number": "480-358-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "JOEL",
        "middle_name": "MARK",
        "credential": "ABO,NCLE,LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AZ",
            "license": "2369I",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "2369I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Raquel Miles, FNP
• Lauren Miller
• Karla Miranda
• MK Senior Care LLC
• Brandon Arthur Moak
• Lora L Montgomery, BSN,RN
• Kyle Stephen Montierth, PT, DPT
• Shaelyn Moracco, CF-SLP
• Sara Nicole Moran-Gutierrez, LMSW
• Nevra Lorraine Moreno

• Ophthalmology Physician in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.