Organization Active NPI

McCarthy Optometric Group a Professional Corporation

  • Corneal and Contact Management Optometrist
  • Camarillo, CA
National Provider Identifier
1013632009
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
MCCARTHY OPTOMETRIC GROUP A PROFESSIONAL CORPORATION
Practice address
99 E Daily Dr
Camarillo, CA 93010-5823
Phone
(805) 482-8849
NPI assigned
Oct 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kyle Russell McCarthy, O.D.NPI 1649756016
Title
Ceo / President
Phone
(805) 469-5210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X Primary

Addresses

Primary practice location

99 E Daily Dr
Camarillo, CA 93010-5823

Mailing address

99 E Daily Dr
Camarillo, CA 93010-5823
Phone (805) 482-8849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.mccarthy@aecopt.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221227001777 CA Part B Supplier - Clinic/Group Practice 2062882566 Receives reassigned benefits from 1 practitioner
Practice locations: Camarillo, CA
O20240206003047 CA DME Supplier - Physician - Optometrist 2062882566 Practice locations: Camarillo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Las Posas Eyecare99 E Daily Dr, Camarillo, CA 93010-5823(805) 482-8849 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2023

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1013632009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E DAILY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105823",
            "telephone_number": "805-482-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E DAILY DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930105823",
            "telephone_number": "805-482-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCARTHY OPTOMETRIC GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "805-469-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.mccarthy@aecopt.com",
            "affiliation": "N",
            "endpointDescription": "email for office",
            "address_1": "99 E Daily Dr",
            "city": "Camarillo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930105823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.