Montgomery Eye Associates
LBN: Montgomery & Riddle Eyecare, Pa
Montgomery Eye Associates is an health care organization with primary practice located at 22995 Highway 76 E , Clinton SC 29325-7529. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Montgomery & Riddle Eyecare, Pa can be contacted via phone (864) 833-0038, or through Montgomery, Samuel Jacob via phone (864) 833-0038.
Contact Information
Primary practice address
22995 Highway 76 E
Clinton SC 29325-7529
Phone: (864) 833-0038
Fax: (864) 833-0520
Website:
Authorized official contact:
Name: Montgomery, Samuel Jacob Doctor of Medicine (MD)
Phone: (864) 833-0038
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1265476584 |
|---|---|
| LBN Legal business name | Montgomery & Riddle Eyecare, Pa |
| DBA Doing business as | Montgomery Eye Associates |
| Authorized official | Montgomery, Samuel Jacob Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Mar 15th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265476584 | NPPES |
| South Carolina | Other | CJ9961 | RAILROAD MEDICARE |
| South Carolina | Other | 7427 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP3567 | RAILROAD MEDICARE |
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