Individual
DR. JEFFREY MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
162 THF BLVD, CHESTERFIELD, MO 63005-1141
(636) 537-0700
(636) 536-2066
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(800) 432-6004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00218689
RAILROAD MEDICARE
IL
Enumeration date
05/06/2006
Last updated
02/13/2017
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