NPIMap

Organization Active NPI

Gregory B. McMahill, OD, an Optometric Corporation

  • Optometrist
  • Palm Desert, CA
National Provider Identifier
1336318807
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9489TPA Issued in CA
Legal business name
GREGORY B. MCMAHILL, OD, AN OPTOMETRIC CORPORATION
Practice address
72800 Dinah Shore Dr
Palm Desert, CA 92211-0814
Phone
(760) 202-0100
Fax
(760) 202-0121
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Dr. Gregory Brian McMahill, O.D.
Title
President
Phone
(760) 202-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT9489TPA CA Primary

Addresses

Primary practice location

72800 Dinah Shore Dr
Palm Desert, CA 92211-0814

Mailing address

72800 Dinah Shore Dr
Palm Desert, CA 92211-0814
Phone (760) 202-0100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1336318807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72800 DINAH SHORE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110814",
            "telephone_number": "760-202-0100",
            "fax_number": "760-202-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72800 DINAH SHORE DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922110814",
            "telephone_number": "760-202-0100",
            "fax_number": "760-202-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY B. MCMAHILL, OD, AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "MCMAHILL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-202-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9489TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.