Jeffrey C McClain, OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1024T Issued in TN

Practice address

1132 W Clark Blvd
Suite B
Murfreesboro, TN 37129-2381

Phone

(615) 893-0149

Fax

(615) 849-9062

NPI assigned

Nov 2, 2005

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1306837885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 W CLARK BLVD",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292381",
            "telephone_number": "615-893-0149",
            "fax_number": "615-849-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 W CLARK BLVD",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292381",
            "telephone_number": "615-893-0149",
            "fax_number": "615-849-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "OD  PC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "1024T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TPAN",
            "identifier": "3595873",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2003853",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595873",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meredith Paige McCauley
• Rachel Hartsfield McCauley, ANP-BC
• Reese Taylor McCauley
• James Roy McCawley, DDS
• Gwendolyn R McChristian, PTA
• Julie McClain, REGISTERED NURSE
• Paula Smith McClellan, LCSW
• Robert Trigg McClellan, MD
• Taaliyah McClellan
• Sarah Eileen McClenney, FNP

• Optometrist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.