Samuel J Montgomery Jr. (NPI# 1467488551, PAC ID# 2860469244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1467488551 |
| PAC ID by PECOS | 2860469244 |
| Professional Enrollment ID | I20100728000351 |
| Full Name | Samuel J Montgomery Jr. |
| Organization Legal Name | CLEMSON EYE PA |
| Address |
360 Pelham Rd Greenville SC 29615-3111 |
| Phone Number | 8642681000 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4183537764 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420038 | GHS LAURENS COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2011 E Greenville St, Anderson, SC 29621-1529 | 8646225000 | CLEMSON EYE PA |
| 360 Pelham Rd, Greenville, SC 29615-3111 | 8642681000 | CLEMSON EYE PA |
| Organization Legal Name | CLEMSON EYE PA |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Balaji Perumal | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Justin H Surratt | Optometry | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Steven E Civiletto | Ophthalmology | Clemson Eye Pa | 15 Southern Ctr Ct, Easley, SC 29642-1533 |
| Eric W Brown | Optometry | Clemson Eye Pa | 1 Halton Green Way, Greenville, SC 29607-6606 |
| Donald P Glaser | Ophthalmology | Clemson Eye Pa | 2011 E Greenville St, Anderson, SC 29621-1529 |
| Sara Lynne Milici-bopp | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Harvard Riddle | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Nancy A Mahlie | Optometry | Clemson Eye Pa | 931 Tiger Blvd, Clemson, SC 29631-1419 |
| Kenneth Norman Sawyer Iii | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Matthew L Stolz | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Street Address |
360 PELHAM RD |
| City | GREENVILLE |
| State | SC |
| Zip | 29615-3111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Balaji Perumal | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Sara Lynne Milici-bopp | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Harvard Riddle | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Kenneth Norman Sawyer Iii | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Matthew L Stolz | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Diviyesh B Patel | Optometry | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Adam R Easterling | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Alison Smith | Ophthalmology | Clemson Eye Pa | 360 Pelham Rd, Greenville, SC 29615-3111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Scoggins | Chiropractic | Pure Motion Sports and Spine | 4109 E N St, Suite 600, Greenville, SC 29615 |
| Jenna L Titcombe | Chiropractic | Pure Motion Sports and Spine | 4109 E N St, Suite 600, Greenville, SC 29615 |
| James Alexander | General Practice | Exigent Inc | 2310 Wade Hampton Blvd, Greenville, SC 29615-1043 |
| Joseph Carrano | Chiropractic | 2520 Wade Hampton Blvd, Suite B, Greenville, SC 29615-1148 | |
| Christopher Kosmicki | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
| Leonard Clay Carter | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
| Reginald R Brannen | Chiropractic | Carter Chiropractic Center LLC | 2510 Wade Hampton Blvd, Suite B1, Greenville, SC 29615-1172 |
| Dominic Geno Lupori | Chiropractic | 2702 E N St, Greenville, SC 29615-1715 | |
| Marcella V Young | Internal Medicine | 540 Old Howell Rd B, Greenville, SC 29615-1969 | |
| Paul J Hennicken | Chiropractic | 530 Howell Rd, Suite 100, Greenville, SC 29615-2000 | |
| Find all physicians in zip 29615 | |||
| City | GREENVILLE |
| Zip Code | 29615 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GREENVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Samuel J Montgomery Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.