Michael Kevin McCarthy, CLVT, CVRT, COMS

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

2255R0406X Issued in IL

Practice address

5000 S 5TH Ave
BLDG 113 MSC 124
Hines, IL 60141-3030

Phone

(708) 202-4234

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1154740744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BLDG 113 MSC 124",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "address_2": "BLDG 113 MSC 124",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "credential": "CLVT, CVRT, COMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": "2255R0406X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Mauldin, PHARM.D.
• Ellen Maxson
• Catherine Elizabeth Mazzuca, MSW, LCSW
• Michael G. McCann, LCSW
• Lauren McCarthy
• Leah McCaskill
• Raquel Sophia McCauley, MSN, RN
• Lisa Marie McCray
• Kandace Marie McCue, M.A.
• Thomas McDowell, LCSW

• Low Vision Rehabilitation Optometrist in Hines, IL
• Providers in Hines, IL by specialty
• Low Vision Rehabilitation Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.