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FAMILY EYECARE ASSOCIATES 43-1628740
NPI 1316078868
Ophthalmology in Lebanon, MO

Active since March 08, 2007

NPPES record last updated: March 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Family Eyecare Associates 43-1628740 NPPES

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

FAMILY EYECARE ASSOCIATES 43-1628740 (NPI 1316078868) is a healthcare organization registered as an ophthalmology in Lebanon, Missouri and active in the NPI registry since March 2007. The organization lists Michael R Montgomery, Doctor Of Optometry, as its authorized official.

NPPES Registry Identity

NPI1316078868
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameMICHAEL MONTGOMERY OD PC
Location Address279 E ELMLebanon, MO 65536
Mailing AddressPo Box 248, 279 East ElmLebanon, MO 65536-0248 · (417) 532-2562 · Fax (417) 592-2409
Phone(417) 532-2562
Organization SubpartNo
Authorized OfficialMichael R MontgomeryDoctor Of Optometry · (417) 532-2562
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 14, 2011
✔ NPI 1316078868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · TO2552
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X · License 2552 (MO)
Also ListedEyewear SupplierTaxonomy 332H00000X · License 2552 (MO)
279 E ELM, Lebanon, MO 65536
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Other Names 1

Other NameFamily Eyecare Associates 43-1628740

Other Identifiers 4

Medicare UPIN000007845MO
Medicare UPINT42763MO
Medicare ID-Type Unspecified000007845MO
Medicaid312368301MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Eyecare Associates 43-1628740 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Family Eyecare Associates 43-1628740, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Montgomery, OD
Optometry
NPI 1124002969
279 E ELM ST
Lebanon, MO 65536
(417) 532-2562
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Montgomery Od PC's NPI number?

The NPI number for Michael Montgomery Od PC is 1316078868. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is also known as Family Eyecare Associates 43-1628740.

Where is Michael Montgomery Od PC located?

Michael Montgomery Od PC is located at 279 E Elm, Lebanon, MO 65536. The listed phone number is (417) 532-2562.

What is Michael Montgomery Od PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Montgomery Od PC enrolled in Medicare?

Yes. Michael Montgomery Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael Montgomery Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Michael Montgomery Od PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michael Montgomery Od PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Michael Montgomery Od PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Montgomery Od PC was last updated on March 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.