Kevin L. McCullough, O.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2854T Issued in TX

Practice address

1216 Junction Hwy
Kerrville, TX 78028-4906

Phone

(830) 895-7858

NPI assigned

Feb 22, 2007

Last updated

Apr 29, 2008By the provider in NPPES

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

Other names 1

• Kevin L. McCullough Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

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  • NPI 1689708919
  NPD (past)
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  dba Vision Centers of Houston

  • Optometrist
  • Humble, TX
  • NPI 1356535488
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1225163249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284906",
            "telephone_number": "830-895-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284906",
            "telephone_number": "830-895-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "2854T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "MCCULLOUGH",
            "middle_name": "L.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rhonda Maurer
• Shelia Ann Mays, FNP-C
• Kelli McCall, CNP
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• James McCrae
• Jana Sue McDermott, RN, ANP
• Amanda Deann McDonald, MSN, RN, FNP-BC
• Lisa Mary McDonald, M.S., CCC-SLP
• Ginger Marie McDowell, PHARMD
• Laveta Larraine McDowell, M.D.

• Specialist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.