Margaret S McCalla-Jackson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001887A Issued in IN

Practice address

2600 W 3Rd St
Bloomington, IN 47404-5227

Phone

(812) 336-5432

Fax

(812) 332-5084

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bloomington Eye Care PC

  • Optometrist
  • Bloomington, IN
  • NPI 1952439234
  NPD (past) Authorized official
• Eyecare Indiana II, P.C.

  • Optometrist
  • Indianapolis, IN
  • NPI 1407134950
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1164465365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9795 CROSSPOINT BLVD",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563354",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045227",
            "telephone_number": "812-336-5432",
            "fax_number": "812-332-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLA-JACKSON",
        "first_name": "MARGARET",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000000078730",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184230",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nakiah McArtor, RBT
• Marissa McAuley, RBT
• MCB Therapy Services,Inc.
• Lawrence C McBride, MD
• Megan McCall
• Charles X McCalla, MD
• Haleigh McCammon, RBT
• April L McCann
• Dara McCann, NP
• Marsha Rose McCarty, PHD

• Optometrist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.