Jerianne Montgomery, OD Valid NPI
Individual provider · Optometrist · Maple Valley, WA
- NPI
- 1164844734
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 60314137 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2014-01-15
- Last updated
- 2016-01-22
Practice location
26615 Maple Valley Black Diamond Rd Se
Maple Valley, WA 98038-8347
(425) 413-8787