Montgomery Vickers OD

NPI 1003958372 - Optometrist - 152W00000X

NPI Details
NPI 1003958372
Gender Male
Enumeration Date 02/13/2007
Last Updated 01/22/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
1511 W MCDERMOTT DR
SUITE 100
ALLEN TX, 75013-4693, US
Phone (972) 727-6262
Fax
Business Location
2714 BEVERLY DR
FLOWER MOUND TX, 75022-5126, US
Phone (304) 549-8321
Fax (304) 757-0566
Toxanomy
Taxonomy Code 152W00000X
License State West Virginia
License Number 701-OD
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According to our database, Dr. Montgomery Vickers OD NPI is 1003958372, taxonomy code is 152W00000X and license number is 701-OD, license state is located at West Virginia. Montgomery Vickers OD physically located at 1511 W Mcdermott Dr, Allen TX, 75013-4693. NPI Number Montgomery Vickers OD has the Individual type.

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1003958372 NPI number is provided on an as is basis without warranty of any kind. 1003958372 is maintained by the National Plan & Provider Enumeration System. The contents of Montgomery Vickers OD are for informational purposes only.