Individual provider · Type 1 NPI
Peter J. Montana
Eyewear Supplier · San Jose, CA
NPI number
1356677116
Active
Practice location
1421 Courtyard Dr
San Jose, CA 95118-1936
Fax (408) 705-2129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 167764405 (CA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
About NPI 1356677116
Peter J. Montana's National Provider Identifier is 1356677116, issued on Oct 28, 2009. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 28, 2009.