John S McCollough, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2620T Issued in TX

Practice address

4406 N Laurent
Victoria, TX 77901-2791

Phone

(361) 578-0107

Fax

(361) 578-1320

NPI assigned

Nov 18, 2005

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

Other identifiers 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Eye AssociatesGroup PAC ID 0840392981, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.3 of 100Reported as individual

Quality

100

Promoting interoperability

91

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Texas Eye Associates

  • Ophthalmology Physician
  • Victoria, TX
  • NPI 1932181641
  Medicare reassignment Care Compare group NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1184606535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 N LAURENT",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012791",
            "telephone_number": "361-578-0107",
            "fax_number": "361-578-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2620T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127231206",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salima Mawji, RPH
• Mary G Mayorga, PH.D.
• Aaron McAfee, PHARMD
• Sherri S McCall-Kyle, PA-C
• Lela McCaskill
• Kevin Darby McCollough, MA
• Melissa Ann McConnell, PATIENT NAVIGATOR
• McCrae Management and Investments, Inc.
• Lora McCullough, PHARMD
• Brian Dean McDaniel, D.O.

• Optometrist in Victoria, TX
• Providers in Victoria, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.