Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Montgomery OD PC

Organization Optometrist · NPI 1316078868

Michael Montgomery OD PC is an Optometrist in Lebanon, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

279 E Elm
Lebanon, MO 65536
Phone: (417) 532-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence TO2552 (MO)
Optometrist Taxonomy 152W00000X · Licence 2552 (MO)
Eyewear Supplier Taxonomy 332H00000X · Licence 2552 (MO)

Record details

NPI number1316078868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Montgomery — Doctor Of Optometry · (417) 532-2562
Other names Family Eyecare Associates 43-1628740
NPI enumeratedMarch 8, 2007
Last updated in NPPESMarch 14, 2011
Mailing addressPo Box 248, 279 East Elm, Lebanon, MO 65536-0248

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