Organization
CHRISTIANA V. MONTGOMERY,O.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIANA VANZANT MONTGOMERY O.D. (OPTOMETRIST/PRESIDENT)
(903) 223-6508
Entity
Organization
Contact information
Practice address
2400 RICHMOND RD, # 64, TEXARKANA, TX 75503-2466
(903) 223-6508
(903) 223-6589
Mailing address
2400 RICHMOND RD, # 64, TEXARKANA, TX 75503-2466
(903) 223-6508
(903) 223-6589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5543T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81574Q
BLUE CROSS/ BLUESHIELD TX
TX
Enumeration date
08/06/2007
Last updated
08/06/2007
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