Individual
AMANDA MONTGOMERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
812 COSHOCTON AVE # 3, MOUNT VERNON, OH 43050-1947
(740) 326-1190
(740) 326-9753
Mailing address
812 COSHOCTON AVE # 3, MOUNT VERNON, OH 43050-1947
(740) 326-1190
(740) 326-9753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6058
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112154
—
OH
01
—
1417236803
SUPERIOR VISION
OH
01
—
CS1627100107
CARESOURCE
OH
Enumeration date
08/16/2011
Last updated
09/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us