Dr. Montgomery Vickers
Optometrist
690 S Watters Rd
Allen
, Texas 75013-5008
Dr. Montgomery Vickers
Optometrist
690 S Watters Rd
Allen
, Texas 75013-5008
(304) 549-8841
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Montgomery Vickers
- 207 Thornberry Dr
- Lewisville, TX
- Zip : 75067-3776
- Phone : (304) 549-8841
Second Address
- Dr. Montgomery Vickers
- 690 S Watters Rd
- Allen, TX
- Zip : 75013-5008
- Phone : (972) 727-6262
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7885 | TX |
National Provider Identifier
| NPI | 1003958372 |
|---|---|
| Provider Name | Dr. Montgomery Vickers |
| First Address | Lewisville, TX 75067-3776 |
| Second Address | Allen, TX 75013-5008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2007 |
| Last Update Date | 23/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000735441 | BCBS (01) | WA |
| 0150620000 | (05) | WV |
| 1021398 | WORKERS COMPENSATION (01) | WV |
| 410026174 | RAILROAD MEDICARE (01) | WV |
| 4321742 | AETNA (01) | WV |
| T32601 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.