Ja McCall Clinic LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JA MCCALL CLINIC LLC

Practice address

711 E Goliad Ave
Crockett, TX 75835-2140

Phone

(936) 544-3763

NPI assigned

Dec 17, 2018

Last updated

Jun 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John McCall Jr., ODNPI 1629157177

Title

Owner

Phone

(936) 544-3763

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John A. McCall Jr., OD

  • Optometrist
  • Crockett, TX
  • NPI 1629157177
  Medicare reassignment Care Compare group NPD Authorized official
• William Koraen Pope, O.D.

  • Optometrist
  • Crockett, TX
  • NPI 1588744973
  Medicare reassignment Care Compare group NPD
• Willie B Castleberry III, O.D.

  • Optometrist
  • Wichita Falls, TX
  • NPI 1871503128
  Medicare reassignment NPD

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1063983039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E GOLIAD AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352140",
            "telephone_number": "936-544-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E GOLIAD AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352140",
            "telephone_number": "936-544-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JA MCCALL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-544-3763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1629157177",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica James
• John Patrick Walker MD
• Blake Harrington Johnson
• Sonya Johnson
• Jr Family Healthcare, PLLC (Houston County Family Medical Clinic)

• Optometrist in Crockett, TX
• Providers in Crockett, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.