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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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