Organization Active NPI

McCabe Vision Center, P.C.

  • Ophthalmology Physician
  • Murfreesboro, TN
National Provider Identifier
1083749352
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD0000031525 Issued in TN
Legal business name
MCCABE VISION CENTER, P.C.
Practice address
122 Heritage Park Dr
Murfreesboro, TN 37129-0563
Phone
(615) 904-9024
Fax
(615) 904-0337
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Craig Fredrick McCabe, M.D.NPI 1396747325
Title
Owner
Phone
(615) 904-9024

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD0000031525 TN Primary

Addresses

Primary practice location

122 Heritage Park Dr
Murfreesboro, TN 37129-0563

Mailing address

122 Heritage Park Dr
Murfreesboro, TN 37129-0563
Phone (615) 904-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070316000031 TN Part B Supplier - Clinic/Group Practice 7618070426 Receives reassigned benefits from 1 practitioner
Practice locations: Murfreesboro, TN

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1095618McCabe Vision Center122 Heritage Park Drive #100, Murfreesboro, TN 37129Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

Locations

122 Heritage Park Dr
Murfreesboro, TN 37129
Phone (615) 904-9024

122 Heritage Park Dr
Ste 100
Murfreesboro, TN 37129
Phone (615) 904-9024

Practitioners & affiliated clinicians

Practitioners 1

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083749352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290563",
            "telephone_number": "615-904-9024",
            "fax_number": "615-904-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290563",
            "telephone_number": "615-904-9024",
            "fax_number": "615-904-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCABE VISION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-904-9024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD0000031525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.