Individual provider Active NPI

Kevin L McClure, OD

  • Optometrist
  • Warminster, PA
National Provider Identifier
1023675949
Registry record updated Dec 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003531 Issued in PA
Practice address
600 Louis Dr Ste 203a
Warminster, PA 18974-2847
Phone
(215) 443-8580
Fax
(215) 672-7526
NPI assigned
May 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003531 PA Primary

Addresses

Primary practice location

600 Louis Dr Ste 203a
Warminster, PA 18974-2847

Mailing address

600 Louis Dr Ste 203a
Warminster, PA 18974-2847
Phone (215) 443-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001001247 PA Practitioner - Optometry 0345669974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Davinci Eye Care, LLCGroup PAC ID 3476628991, 3 clinicians

Practice addresses (Care Compare)

600 Louis Dr
Suite 203a
Warminster, PA 18974-2847
Phone (215) 443-8580

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as individual
Quality
51.19
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003531PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Davinci Eye Care, LLC Optometrist CurrentSince Dec 18, 2021 Accepting new patients
Eyecare of the Valley P.C. Optometrist CurrentSince Sep 21, 2020 Accepting new patients
National Vision Inc Optometrist PastSince Aug 1, 2020 Accepting new patients

Locations

240 Pottstown Ave
Pennsburg, PA 18073
Phone (215) 679-3500

600 Louis Dr
Ste 203A
Warminster, PA 18974
Phone (215) 443-8580

Interoperability endpoints

  • Direct secure messaging: kmcclure@davincieyecare.eyefinity-direct.com
  • Direct secure messaging: kmcclure@eyecareofthevalley.eyefinity-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639872000000",
    "number": "1023675949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 203A",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-443-8580",
            "fax_number": "215-672-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 203A",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-443-8580",
            "fax_number": "215-672-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KEVIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-27",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warminster, PA

Sources for this page

Verify at the official NPI Registry.