Corissa Anne McKallagat, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

NH0844 Issued in NH

Practice address

50 Fox Run Rd
Newington, NH 03801-2851

Phone

(603) 828-9601

Fax

(603) 430-3076

NPI assigned

Jul 13, 2010

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

Medicare fee-for-service enrollment

Enrolled in NH

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

New England College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Portsmouth Eye PLLC

  • Optometrist
  • Portsmouth, NH
  • NPI 1679922579
  Medicare reassignment NPD
• Eyeglass Shop, PLLC

  • Optometrist
  • Portsmouth, NH
  • NPI 1538356167
  NPD

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1215249651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4159",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038024159",
            "telephone_number": "603-828-9601",
            "fax_number": "603-430-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FOX RUN RD",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038012851",
            "telephone_number": "603-828-9601",
            "fax_number": "603-430-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKALLAGAT",
        "first_name": "CORISSA",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "NH0844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blaire Luebkeman, MS - BCBA
• Sheryl Ann Maltais, LPN
• Marc P. Brown DDS PA
• Catherine A Markovsky, L.AC.
• Ashley Elizabeth McClean
• Merrimack Eye Care, LLC
• John Leonard Mitchell Jr., CRNA
• Daniel Munger
• Katherine E Murphy, A.R.N.P.
• Robert James Murphy, RPH

• Optometrist in Newington, NH
• Providers in Newington, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.