# DERRICK ALAN MONTGOMERY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225133499
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A96117 | CA | — |
| 207W00000X | Ophthalmology Physician | D0098674 | MD | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | 35.125039 | OH | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | 35.125039 | OH | — |
| 207WX0120X | Cornea and External Diseases Specialist Physician | D0098674 | MD | — |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 06/17/2026