Individual provider Active NPI

Donna Lenore McCain, O.D.

  • Optometrist
  • Taylor, TX
National Provider Identifier
1316101041
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7240 T Issued in TX
Practice address
3701 N Main St
Suite a
Taylor, TX 76574-4975
Phone
(512) 352-1600
NPI assigned
Jul 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7240 T TX Primary

Addresses

Primary practice location

3701 N Main St
Suite a
Taylor, TX 76574-4975

Mailing address

3701 N Main St
Suite a
Taylor, TX 76574-4975
Phone (512) 352-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100107000247 TX Practitioner - Optometry 9436290814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2008
Medicare assignment
May accept Medicare assignment
Group practices
San Gabriel Eye Center PLLCGroup PAC ID 6204269053, 4 clinicians

Practice addresses (Care Compare)

1401 Williams Dr
Georgetown, TX 78628-4115
Phone (512) 863-2078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7240 TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Eye Center PLLC Optometrist CurrentSince Aug 10, 2019 Accepting new patients
Maria Quintanilla OD PC Optometrist Past Accepting new patients

Locations

1401 Williams Dr
Georgetown, TX 78628
Phone (512) 551-5500

1401 Williams Dr
Ste 101
Georgetown, TX 78628
Phone (512) 863-2078

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": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1316101041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 N MAIN ST",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744975",
            "telephone_number": "512-352-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 N MAIN ST",
            "address_2": "SUITE A",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744975",
            "telephone_number": "512-352-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "DONNA",
        "middle_name": "LENORE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7240 T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

Verify at the official NPI Registry.