Individual
DERRICK ALAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A96117
CA
207W00000X
Ophthalmology Physician
Primary
D0098674
MD
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
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