Vickers, Montgomery

Vickers, Montgomery is an sole proprietor health care provider with primary practice located at 690 S Watters Rd , Allen TX 75013-5008. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vickers, Montgomery can be contacted via phone (972) 727-6262.

Contact Information

Primary practice address
690 S Watters Rd Allen TX 75013-5008
Phone: (972) 727-6262
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7885 Texas

Profile Details

NPI number 1003958372
LBN Legal business name Vickers, Montgomery
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Nov 23rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003958372 NPPES
West Virginia Other 1021398 WORKERS COMPENSATION
West Virginia Other 4321742 WORKERS COMPENSATION
West Virginia MEDICAID 0150620000 WORKERS COMPENSATION
West Virginia Other 410026174 WORKERS COMPENSATION
West Virginia Other 000735441 WORKERS COMPENSATION

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