Organization
MONTAGUE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL R MONTAGUE OD (PRESIDENT)
(570) 687-7943
Entity
Organization
Contact information
Practice address
1129 QUENTIN RD, LEBANON, PA 17042-6915
(717) 272-7059
(717) 272-2155
Mailing address
PO BOX 310, CONYNGHAM, PA 18219-0310
(570) 687-7943
(717) 685-3250
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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