AMANDA MONTGOMERY (NPI# 1417236803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417236803 |
| Entity Type | Individual |
| Full Name | AMANDA MONTGOMERY |
| Credential | O.D. |
| Practice Address |
812 Coshocton Ave # 3 Mount Vernon OH 43050-1947 |
| Practice Telephone | 7403261190 |
| Practice Fax Number | 7403269753 |
| Mailing Telephone | 7403261190 |
| Mailing Fax Number | 7403269753 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6058 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0112154 | 05 | |
| OH | SUPERIOR VISION | 1417236803 | 01 |
| OH | CARESOURCE | CS1627100107 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306214325 | Amanda Montgomery | Psychologist | 4300 Stevens Creek Blvd Ste 260, San Jose, CA 95129 | 2015-09-08 |
| 1215353669 | Amanda Montgomery | Counselor | 621 Line Street, Belcher, LA 71004-0033 | 2014-03-10 |
| 1326345307 | Amanda Carroll Montgomery | Speech-Language Pathologist | 205 S Bishop Ave, Secane, PA 19018-2019 | 2011-02-28 |
| 1235598657 | Amanda Mae Montgomery | Emergency Medicine | 1700 Mount Vernon Ave, Bakersfield, CA 93306 | 2016-02-12 |
| 1740648690 | Amanda Ruth Montgomery | Social Worker | 10 Park Place South Se, Atlanta, GA 30303-2913 | 2016-02-08 |
| 1790153088 | Amanda Montgomery | Hearing Instrument Specialist | 1550 E Morris Blvd, Morristown, TN 37813-2153 | 2015-09-03 |
| 1316283880 | Amanda H Montgomery | Social Worker | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2013-01-02 |
| 1437437068 | Amanda Marie Montgomery | Physical Therapist | 2819 Midway Rd Se Ste 114, Bolivia, NC 28422-8003 | 2011-08-01 |
| 1821272337 | Amanda C Montgomery | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2007-12-19 |
| 1518076371 | Amanda L. Montgomery | Social Worker | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2006-08-29 |
| Street Address |
812 COSHOCTON AVE # 3 |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185187 | Carolyn Alanna Thomas | Optometrist | 812 Coshocton Ave # 3, Mount Vernon, OH 43050-1947 | 2020-05-18 |
| 1407120140 | Montgomery Eye Care, LLC | Optometrist | 812 Coshocton Ave # 3, Mount Vernon, OH 43050-1947 | 2012-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679742183 | Illinois Express Vision Center, Mattoon Inc | Optometrist | 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2290 | 2008-02-28 |
| 1982898375 | Clarkson Optometry Illinois PC | Optometrist | 3000 Broadway St, Mount Vernon, IL 62864-2340 | 2007-08-29 |
| 1679629521 | James Laurence Edick | Optometrist | 5 W High St, Mount Vernon, OH 43050-3282 | 2007-01-25 |
| 1518014737 | Neil Scott Eberhardt | Optometrist | 1427 N Laventure Rd, Mount Vernon, WA 98273-2765 | 2007-01-03 |
| 1538223417 | David W Wineland | Optometrist | 110 Coshocton Ave, Mount Vernon, OH 43050-2628 | 2006-12-21 |
| 1235200429 | Tod W Jones | Optometrist | 1616 N 18th St Ste 104, Mount Vernon, WA 98273-2600 | 2006-11-11 |
| 1609957885 | Mount Vernon Eyecare Associates, LLC | Optometrist | 104 S Hickory, Mount Vernon, MO 65712 | 2006-10-17 |
| 1043304710 | Percav, Inc | Optometrist | 112 S 42nd Street, Mount Vernon, IL 62864 | 2006-10-03 |
| 1538278445 | Terry G. Cook | Optometrist | 4200 Ilberry Rd, Mount Vernon, IL 62864-6748 | 2006-08-30 |
| 1245348473 | Richard Wayne York | Optometrist | 1684 Venture Dr, Suite A, Mount Vernon, OH 43050-8950 | 2006-08-28 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on AMANDA MONTGOMERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.