DR. JERIANNE MONTGOMERY OD
NPI 1164844734
Optometrist in Maple Valley, WA

Q: What is Jerianne Montgomery's NPI number?

The NPI number for Jerianne Montgomery is 1164844734. It was assigned to this individual provider in the NPPES registry on January 15, 2014.

Q: What is Jerianne Montgomery's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 15, 2014PECOS Enrolled

26615 MAPLE VALLEY BLACK DIAMOND RD SE, MAPLE VALLEY, WA 98038(425) 413-8787 Get Directions Write a Review

NPPES record last updated: January 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jerianne Montgomery Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERIANNE MONTGOMERY OD (NPI 1164844734) is an individual optometrist in Maple Valley, Washington, licensed in Washington (60314137) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Waterloo - School Of Optometry (2003).

NPPES Registry Identity

NPI1164844734

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. JERIANNE MONTGOMERYCredential: OD

Location Address26615 MAPLE VALLEY BLACK DIAMOND RD SEMaple Valley, WA 98038-8347

Mailing Address21806 240th Pl SeMaple Valley, WA 98038-8463 · (253) 737-8336

Phone(425) 413-8787

Sole ProprietorYes

Medical School CMSUniversity Of Waterloo - School Of OptometryGraduated 2003

Enumeration DateJanuary 15, 2014

Last NPPES UpdateJanuary 22, 2016

✔ NPI 1164844734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in WA · 60314137

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

26615 MAPLE VALLEY BLACK DIAMOND RD SE, Maple Valley, WA 98038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerianne Montgomery Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486985389

PECOS Enrollment IDI20191008000310

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

21 services21 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAPLE VALLEY EYE CARE CENTER PS

Optometrist