Individual
GENE MONTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
2906 POMELLO AVE SW, PALM BAY, FL 32908-4943
(321) 917-5057
Mailing address
2906 POMELLO AVE SW, PALM BAY, FL 32908-4943
(321) 917-5057
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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