Active NPI
John David Macarty, O.D.
- Optometrist
- Pawhuska, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2045
- Practice address
- 715 Grandview Ave
Pawhuska, OK 74056-3201 - Phone
- (918) 287-9300
- Fax
- (918) 287-6138
- NPI assigned
- Oct 10, 2006
- Last updated
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2045 | OK | Primary |
Addresses
Primary practice location
715 Grandview Ave
Pawhuska, OK 74056-3201
Mailing address
902 E Lincoln Rd
Idabel, OK 74745-7337
Phone (580) 286-2600
Other practice location 1
902 E Lincoln Rd
Idabel, OK 74745-7337
Phone (580) 286-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100760170A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 Grandview Ave
Pawhuska, OK 74056-3201
Phone (918) 287-9335
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osage Nation Si-Si a-Pe-Txa | Current | Accepting new patients | |
| Osage Nation Si-Si a-Pe-Txa | Past | Accepting new patients |
Locations
715 Grandview Ave
Pawhuska, OK 74056
Phone (918) 287-4491
316 E Main St
Pawhuska, OK 74056
Phone (918) 287-9300
Interoperability endpoints
- jmacarty27079@muscogeecreeknation.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wah-Zha-Zhe Health Center
- Federally Qualified Health Center (FQHC)
- Pawhuska, OK
- NPI 1093402349
TX
-
dba Wah-Zha-Zhe Health Center
- Radiology Clinic/Center
- Pawhuska, OK
- NPI 1902272826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1184712069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 E LINCOLN RD",
"city": "IDABEL",
"state": "OK",
"postal_code": "747457337",
"telephone_number": "580-286-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 GRANDVIEW AVE",
"city": "PAWHUSKA",
"state": "OK",
"postal_code": "740563201",
"telephone_number": "918-287-9300",
"fax_number": "918-287-6138"
}
],
"practiceLocations": [
{
"address_1": "902 E Lincoln Rd",
"address_purpose": "LOCATION",
"city": "Idabel",
"state": "OK",
"postal_code": "747457337",
"country_code": "US",
"telephone_number": "580-286-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACARTY",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100760170A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pawhuska, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.