Individual provider Active NPI

John Martin Maloney, O.D.

  • Optometrist
  • Temple, TX
National Provider Identifier
1144291642
Registry record updated Aug 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3499T Issued in TX
Practice address
1119 S 31St St
Temple, TX 76504-5214
Phone
(254) 773-3248
Fax
(254) 773-5576
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3499T TX Primary

Addresses

Primary practice location

1119 S 31St St
Temple, TX 76504-5214

Mailing address

406 Cherokee Dr
Temple, TX 76504-3628
Phone (254) 295-6202

Other identifiers 2

IdentifierTypeStateIssuer
093261803MedicaidTX
75-2307858OtherTXFED EMPLOYER ID #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3499TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Vision Past Accepting new patients
Cooke Vision, PLLC Optometrist PastSince Jun 1, 2013 Accepting new patients

Organizations & group practices 2

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250640000000",
    "number": "1144291642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CHEROKEE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765043628",
            "telephone_number": "254-295-6202",
            "fax_number": "254-773-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045214",
            "telephone_number": "254-773-3248",
            "fax_number": "254-773-5576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JOHN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2009-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3499T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093261803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED EMPLOYER ID #",
            "identifier": "75-2307858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.