Individual provider Active NPI

Michael Scott McCown, OD

  • Optometrist
  • Silverdale, WA
National Provider Identifier
1225025869
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1939 Issued in WA
Practice address
3647 NW Byron St
Silverdale, WA 98383-9127
Phone
(360) 692-6115
Fax
(360) 692-6139
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1939 WA Primary

Addresses

Primary practice location

3647 NW Byron St
Silverdale, WA 98383-9127

Mailing address

3647 NW Byron St
P.O. Box 248
Silverdale, WA 98383-9127
Phone (360) 692-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20040526000355 WA Practitioner - Optometry 7113814468 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Eyecare Center, LLCGroup PAC ID 8820080088, 2 clinicians
Kingston Eyecare Center, LLCGroup PAC ID 8426039629, 2 clinicians
Silverdale Eye Care Center IncGroup PAC ID 2062309313, 4 clinicians

Practice addresses (Care Compare)

1105 Harvey Rd NE
Auburn, WA 98002-4219
Phone (253) 833-5000

25989 Barber Cut Off Nerd
Kingston, WA 98346-8455

25989 Barber Cut Off Rd NE
Kingston, WA 98346-8455
Phone (360) 297-2844

25989 Barber Cutoff Rd
Kingston, WA 98346-8455

3647 NW Byron St
Suite 100
Silverdale, WA 98383-7680
Phone (360) 692-6115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1939WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kingston Eyecare Center, LLC Optometrist CurrentSince May 4, 2004 Accepting new patients
Silverdale Eyecare Center Inc Optometrist CurrentSince Apr 1, 1997 Accepting new patients
Auburn Eyecare Center, LLC Optometrist CurrentSince Jun 1, 2002 Accepting new patients
Seattle Eyecare Center LLC Optometrist PastSince Sep 26, 2005 Accepting new patients

Locations

1105 Harvey Rd NE
Auburn, WA 98002
Phone (253) 833-5000

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

3647 NW Byron St
Ste 100
Silverdale, WA 98383
Phone (360) 692-6115

3647 NW Byron St
Silverdale, WA 98383
Phone (360) 692-6115

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1225025869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3647 NW BYRON ST",
            "address_2": "P.O. BOX 248",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-6115",
            "fax_number": "360-692-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3647 NW BYRON ST",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839127",
            "telephone_number": "360-692-6115",
            "fax_number": "360-692-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWN",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.