Individual provider Active NPI

Christos Alexander McClain, OD

  • Optometrist
  • College Station, TX
National Provider Identifier
1154989622
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9637TG Issued in TX
Practice address
4081 Highway 6 S Ste 301
College Station, TX 77845-8655
Phone
(979) 690-0888
NPI assigned
May 30, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9637TG TX Primary

Addresses

Primary practice location

4081 Highway 6 S Ste 301
College Station, TX 77845-8655

Mailing address

4081 State Highway 6 S Ste 301
College Station, TX 77845-8655
Phone (979) 690-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190816001282 TX Practitioner - Optometry 6507193372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clara Vista EyecareGroup PAC ID 6507216371, 3 clinicians
Urban Optics PLLCGroup PAC ID 7012156656, 3 clinicians

Practice addresses (Care Compare)

19792 Hwy 105 W
Suite 300
Montgomery, TX 77356-6107
Phone (936) 220-4313

4075 State Hwy 6 S
Suite 100
College Station, TX 77845-8963
Phone (979) 690-0888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9637TXMDGeneral Practice Dentistry
9637TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Optics, PLLC CurrentSince Jul 1, 2019 Accepting new patients
Clara Vista Eyecare Optometrist CurrentSince Sep 16, 2023 Accepting new patients
JMC Worldwide PLLC Optometrist CurrentSince Sep 25, 2022 Accepting new patients

Locations

4081 State Highway 6 S
Ste 301
College Station, TX 77845
Phone (979) 690-0888

4075 State Highway 6 S
#100
College Station, TX 77845
Phone (979) 690-0888

19792 Highway 105 W
Ste 300
Montgomery, TX 77356
Phone (936) 220-4313

Organizations & group practices 3

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1154989622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 STATE HIGHWAY 6 S STE 301",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458655",
            "telephone_number": "979-690-0888",
            "fax_number": "979-690-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 HIGHWAY 6 S STE 301",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458655",
            "telephone_number": "979-690-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "CHRISTOS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-30",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9637TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.