AMANDA MONTGOMERY O.D.
NPI 1417236803
Optometrist in Mount Vernon, OH

Q: What is Amanda Montgomery's NPI number?

The NPI number for Amanda Montgomery is 1417236803. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Q: What is Amanda Montgomery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Montgomery was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 16, 2011PECOS Enrolled

812 COSHOCTON AVE # 3, MOUNT VERNON, OH 43050(740) 326-1190(740) 326-9753 Get Directions Write a Review

NPPES record last updated: September 29, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2016, Dec 15, 2015 (2 updates tracked since 2015).

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About Amanda Montgomery O.d. NPPES

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

AMANDA MONTGOMERY O.D. (NPI 1417236803) is an individual optometrist in Mount Vernon, Ohio, licensed in Ohio (6058) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417236803

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameAMANDA MONTGOMERYCredential: O.D.

Location Address812 COSHOCTON AVE # 3Mount Vernon, OH 43050-1947

Mailing Address812 Coshocton Ave # 3Mount Vernon, OH 43050-1947 · (740) 326-1190 · Fax (740) 326-9753

Phone(740) 326-1190

Fax(740) 326-9753

Sole ProprietorYes

Enumeration DateAugust 16, 2011

Last NPPES UpdateSeptember 29, 20162 updates tracked since enumeration

✔ NPI 1417236803 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 OH · 6058

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.

812 COSHOCTON AVE # 3, Mount Vernon, OH 43050

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Other Identifiers 4

Medicaid0112154OH

Other1417236803OH · Superior Vision

OtherCS1627100107OH · Caresource

Medicare PINH371992OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Montgomery O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Montgomery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montgomery Eye Care, LLC

0.5 mi

Optometrist

11 WOODLAKE TRL
Mount Vernon, OH 43050

Reassigned Medicare billing, Ohio enrollment

NPI 1407120140 (740) 326-1190

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

Areas of Expertise CMS Part B claims

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.

31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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

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

DR. CAROLYN ALANNA THOMAS OD

Optometrist

812 COSHOCTON AVE # 3
MOUNT VERNON, OH 43050

Knox County (740) 326-1190

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 Amanda Montgomery's NPI number?

The NPI number for Amanda Montgomery is 1417236803. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Amanda Montgomery located?

Amanda Montgomery practices at 812 Coshocton Ave # 3, Mount Vernon, OH 43050. The listed phone number is (740) 326-1190.

What is Amanda Montgomery's specialty?

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

Is Amanda Montgomery enrolled in Medicare?

Yes. Amanda Montgomery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Montgomery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Montgomery reassigns Medicare benefits to Montgomery Eye Care, LLC (Mount Vernon, OH). The 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 Amanda Montgomery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Montgomery accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare, Oscar Health and Oscar Health Insurance and 6 other insurers list Amanda Montgomery 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 Amanda Montgomery was last updated on September 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.