Michael McQuillan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6508T Issued in CA

Practice address

1200 Paseo Camarillo
Suite 180
Camarillo, CA 93010-6050

Phone

(805) 484-0577

Fax

(805) 987-6257

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

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

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.

• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  Medicare reassignment NPD
• Dean Amundsen,O.D. Professional Optometry Corp.

  • Optometrist
  • Camarillo, CA
  • NPI 1750353637
  Medicare reassignment NPD
• County of Ventura

  • Community/Behavioral Health Agency
  • Thousand Oaks, CA
  • NPI 1467571422
  NPD
• County of Ventura

  • Community/Behavioral Health Agency
  • Simi Valley, CA
  • NPI 1609098243
  NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1194707927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "SUITE 180",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106050",
            "telephone_number": "805-484-0577",
            "fax_number": "805-987-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PASEO CAMARILLO",
            "address_2": "SUITE 180",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106050",
            "telephone_number": "805-484-0577",
            "fax_number": "805-987-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILLAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6508T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina McNair
• Malcolm Andrew McNeil
• Amanda Lee McNerney, PH.D.
• Ericka McPeters
• Maria De Jesus McQueary, OTR/L
• Kelly Bean McReynolds
• Lauren Elizabeth McWhorter, FNP-BC
• Raishelle Lian Meagher
• Brenda Kim Means, FNP-BC
• Med Comfort Hospice, Inc.

• Optometrist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.