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NPI Code Detail

MEDICARE: DAVID N MONTGOMERY OD

MEDICARE:   DAVID N MONTGOMERY  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristODT0682TN

General Provider Information

NPI Number : 1467447425
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID N MONTGOMERY OD
Provider Business Mailing Address
First Line : 1275 DICK LONAS RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-1382
Country : US
Telephone Number : 865-584-4747
Fax Number : 865-381-1509
Provider Business Practice Location Address
First Line : 5491 CREEKWOOD PARK BLVD
Second Line :
City : LENOIR CITY
State : TN
Zip : 37772-1204
Country : US
Telephone Number : 800-500-4667
Fax Number : 833-448-2983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 08/02/2024

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Directions to “ DAVID N MONTGOMERY OD” Practice Location

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