John W McClane III, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1488 Issued in FL

Practice address

6 South 14TH Street
Fernandina Beach, FL 32034

Phone

(904) 261-5741

Fax

(904) 261-7383

NPI assigned

Nov 1, 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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vision Masters, P.C.

  • Optometrist
  • Saint Marys, GA
  • NPI 1063693034
  NPD (past) Authorized official
• Brian S Armitage, O.D., P.a.

  • Corneal and Contact Management Optometrist
  • Jacksonville, FL
  • NPI 1740207182
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1366529075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SOUTH 14TH STREET",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-5741",
            "fax_number": "904-261-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SOUTH 14TH STREET",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "32034",
            "telephone_number": "904-261-5741",
            "fax_number": "904-261-7383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANE",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "887",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00261797C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00243911B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00254141B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "959951220A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amaya Johnson McCarthy, ARNP
• Sara Veronica McCarthy, PA
• Sorcha Ann McCarthy
• Alyssa McClain
• McClane & Stubits OD PA
• Denise Sharon McClure-Drabick, CRNA, ARNP,BA ,RN
• Walter Cleo McCreary, LCSW
• Beth Madison McCullen, LMHC
• Henrietta Catherine McGowan, LMHC,LPC, CAP, NCC
• Ann Christensen McGrath, APRN, CNM

• Optometrist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.