Active NPI
Jack Lee McGee
- Optician
- Bakersfield, CA
National Provider Identifier
1083731806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 07 00002439
- Practice address
- 3100 19TH St Ste 100
Bakersfield, CA 93301-3149 - Phone
- (661) 322-3937
- NPI assigned
- Mar 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 07 00002439 | CA | Primary |
Addresses
Primary practice location
3100 19TH St Ste 100
Bakersfield, CA 93301-3149
Mailing address
3100 19TH St Ste 100
Bakersfield, CA 93301-3149
Phone (661) 322-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DX002788F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07 00002439 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083731806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 19TH ST STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013149",
"telephone_number": "661-322-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 19TH ST STE 100",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933013149",
"telephone_number": "661-322-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "JACK",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "07 00002439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DX002788F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.