Joseph C Maycock, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

288-T Issued in WY

Practice address

609 4J CT
Gillette, WY 82716-4135

Phone

(307) 682-2020

Fax

(307) 682-5656

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 WY

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

Southern California College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gillette Optometric Clinic PCGroup PAC ID 3870507221, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmaycock@gilletteoptometricclinic.eyefinity-direct.com

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.

• Gillette Optometric Clinic PC

  • Corneal and Contact Management Optometrist
  • Gillette, WY
  • NPI 1891850707
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265466320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 4J CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164135",
            "telephone_number": "307-682-2020",
            "fax_number": "307-682-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 4J CT",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827164135",
            "telephone_number": "307-682-2020",
            "fax_number": "307-682-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYCOCK",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WY",
            "license": "288-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Daryl Martinson, PT
• Heather Jean Martinson, PT
• Tisha Raneil Martz, RN, BSN
• Britney Matzick
• Morgan Taylor Maxwell
• Kirsten Kim Maycock, D.C.
• Paul Mayer, FNP
• Kayla McAmis
• Tamera Kay McArthur, MRC, CRC, PPC
• McCarty Family Medicine

• Corneal and Contact Management Optometrist in Gillette, WY
• Providers in Gillette, WY by specialty
• Corneal and Contact Management Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.