Individual provider Active NPI

Druann J McCluskey, MD

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1295846285
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G60648 Issued in CA
Practice address
18582 Main St
Attn: Lorry Duncan
Huntington Beach, CA 92648-1701
Phone
(714) 965-9696
Fax
(714) 965-9797
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G60648 CA Primary

Addresses

Primary practice location

18582 Main St
Attn: Lorry Duncan
Huntington Beach, CA 92648-1701

Mailing address

18582 Main St
Attn: Lorry Duncan
Huntington Beach, CA 92648-1701
Phone (714) 965-9696

Other identifiers 1

IdentifierTypeStateIssuer
00G606480MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000462 CA Practitioner - Ophthalmology 1951597921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G60648CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cleve S Mackenzie MD a Medical Corporation Ophthalmology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1295846285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "ATTN: LORRY DUNCAN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18582 MAIN ST",
            "address_2": "ATTN: LORRY DUNCAN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481701",
            "telephone_number": "714-965-9696",
            "fax_number": "714-965-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUSKEY",
        "first_name": "DRUANN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G60648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G606480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.