Active NPI
Michael Eugene McCarty, O.D.
- Optometrist
- Collierville, TN
National Provider Identifier
1346395274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 764
- Practice address
- 1016 W Poplar Ave Ste 112
Collierville, TN 38017-2687 - Phone
- (901) 360-1213
- NPI assigned
- Jan 23, 2007
- Last updated
- Dec 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 764 | TN | Primary |
Addresses
Primary practice location
1016 W Poplar Ave Ste 112
Collierville, TN 38017-2687
Mailing address
5121 Pear Dr
Southaven, MS 38671-9325
Phone (662) 349-3772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160811002284 | TN | Order and Referring Only - Other (Physician) | 1759675804 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 764 | TN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1346395274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5121 PEAR DR",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719325",
"telephone_number": "662-349-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 W POPLAR AVE STE 112",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380172687",
"telephone_number": "901-360-1213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTY",
"first_name": "MICHAEL",
"middle_name": "EUGENE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.