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

Dr. Michael R Montgomery, OD

Individual provider Optometrist · NPI 1124002969

Dr. Michael R Montgomery, OD is an Optometry in Lebanon, Missouri. Graduated from Illinois College of Optometry at Chicago in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
43
Trained at
Illinois College of Optometry at Chicago
Licensed in
MO
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

279 E Elm St
Lebanon, MO 65536-3610
Phone: (417) 532-2562
Fax: (417) 532-2409
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02552 (MO)

Record details

NPI number1124002969
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESNovember 27, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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