Randy Joe Montgomery
Ophthalmologist
4825 Camp Bowie Blvd
Fort Worth
, Texas 76107-4150
Randy Joe Montgomery
Ophthalmologist
4825 Camp Bowie Blvd
Fort Worth
, Texas 76107-4150
(817) 377-0074
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Randy Joe Montgomery
- 4825 Camp Bowie Blvd
- Fort Worth, TX
- Zip : 76107-4150
- Fax : (817) 377-0074
- Phone : (817) 336-2010
Second Address
- Randy Joe Montgomery
- 4825 Camp Bowie Blvd
- Fort Worth, TX
- Zip : 76107-4150
- Fax : (817) 377-0074
- Phone : (817) 336-2010
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | H1000 | TX |
National Provider Identifier
| NPI | 1033170667 |
|---|---|
| Provider Name | Randy Joe Montgomery |
| First Address | Fort Worth, TX 76107-4150 |
| Second Address | Fort Worth, TX 76107-4150 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 18/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E06981 | (02) |
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.