Mark Edward McLain, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1605T Issued in OR

Practice address

12100 SE Stevens CT Suite 106
Clackamas, OR 97086

Phone

(503) 353-7269

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1356446900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT SUITE 106",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 SE STEVENS CT SUITE 106",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-353-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAIN",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1605T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa McGurr, PT, DPT
• Nicholas Michael McHugh, PA-C
• David Anthony McKay, PHARM.D.
• Savannah Faith McKee
• Rebekah Marey McKenna
• Cori Lee McLaren, R.PH.
• Jaclyn Ann McLaughlin, MSN, FNP-C
• Diana Kay McLaurin, M.D.
• Katrina Anne McMahan, R.D.H.
• Megan Emily McVicker, RDH

• Optometrist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.