Dr. Michael R Montgomery

OD | Optometrist | 43+ years Exp


  
279 E Elm St, Lebanon
Missouri, 65536-3610

 417-532-2562     417-532-2409Maps & Directions
Dr. Michael R Montgomery is a Lebanon, Missouri based male Optometrist with 43 years of experience in Optometry. He completed his graduation from Illinois College Of Optometry At Chicago in 1983. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael R Montgomery is T02552 for Optometry in Missouri.
Dr. Michael R Montgomery examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.


Complete Profile:
Dr. Michael R Montgomery speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Optometry
Credentials: OD
Experience: 43+ years
Medical School Attended:Illinois College Of Optometry At Chicago
Graduation Year:1983
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:279 E Elm St, Lebanon,
Missouri, 65536-3610
Phone:417-532-2562
Fax:417-532-2409
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 0244338309
Enrollment ID: I20070615000442
NPI Number: 1124002969
NPI Enumeration Date: 05 Dec, 2005
NPI Last Update On: 27 Nov, 2012

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael R Montgomery are as mentioned below.
License NumberSpecializationStateStatus
T02552Optometry MissouriPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael R Montgomery such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
117102OtherBCBC-LEBABON LOCATION
117105OtherBCBS
12603OtherSPECTERA-LEBANON LOCATION
312368319MedicaidMissouri
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Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 279 E Elm St,
Lebanon, Missouri
Zip: 65536-3610
Phone Number: 417-532-2562
Fax Number: 417-532-2409
Patients can reach Dr. Michael R Montgomery at 279 E Elm St, Lebanon, Missouri or can call to book an appointment on 417-532-2562.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.
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