Individual
DR. BRIAN MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
78 MARCA DR, LUCASVILLE, OH 45648-8531
(740) 259-3051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1669
NC
152W00000X
Optometrist
18004385A
IN
152W00000X
Optometrist
Primary
4668T1443
OH
Other
Enumeration date
01/22/2007
Last updated
04/03/2024
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