Jacqueline M McCall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2091 Issued in MN

Practice address

7870 Excelsior Rd
Baxter, MN 56425-8427

Phone

(218) 828-9545

Fax

(218) 828-1572

NPI assigned

Aug 31, 2005

Last updated

Dec 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Family Eye Center PAGroup PAC ID 0345131421, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Family Eye Center PA

  • Optometrist
  • Baxter, MN
  • NPI 1912087362
  Medicare reassignment Care Compare group NPD Authorized official
• Midwest Family Eye Center

  • Optometrist
  • Baxter, MN
  • NPI 1700818341
  NPD (past) Authorized official

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1376537761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7870 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258427",
            "telephone_number": "218-828-9545",
            "fax_number": "218-828-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870 EXCELSIOR RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258427",
            "telephone_number": "218-828-9545",
            "fax_number": "218-828-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198523000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "46B89MC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Martin
• Sheila Elizabeth Martin
• Lora C Martinson, DPT
• Kiersten Micael Boehm Masello, DDS
• Jerome Mauro
• Kelly Ann McKenzie
• Francis Xavier McLaughlin, MSW LICSW
• Alex McLean, DC
• Jessica Mello, DIRECTOR/OWNER
• Michael Menzie

• Optometrist in Baxter, MN
• Providers in Baxter, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.