Organization Active NPI

Larry E. McCall, O.D., Inc.

  • Optometrist
  • Searcy, AR
National Provider Identifier
1104096767
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2119 Issued in AR
Legal business name
LARRY E. MCCALL, O.D., INC.
Practice address
506 W Arch Ave
Searcy, AR 72143-5204
Phone
(501) 268-3149
NPI assigned
Mar 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Authorized official

Name
Larry E McCallNPI 1609963941
Title
Optometrist
Phone
(501) 268-3149

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2119 AR Primary

Addresses

Primary practice location

506 W Arch Ave
Searcy, AR 72143-5204

Mailing address

506 W Arch Ave
Searcy, AR 72143-5204
Phone (501) 268-3149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120113000015 AR Part B Supplier - Clinic/Group Practice 6507033644 Receives reassigned benefits from 1 practitioner
Practice locations: Searcy, AR

National Provider Directory

National Provider Directory

Locations

506 W Arch Ave
Searcy, AR 72143
Phone (501) 268-3149

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": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307664000000",
    "number": "1104096767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 W ARCH AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435204",
            "telephone_number": "501-268-3149",
            "fax_number": "501-268-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W ARCH AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435204",
            "telephone_number": "501-268-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E. MCCALL, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2011-06-10",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "501-268-3149"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.