Individual provider Active NPI

Joshua Scott McCown, OD

  • Optometrist
  • Gatesville, TX
National Provider Identifier
1386267540
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10135TG Issued in TX
Practice address
113 N Lutterloh Ave
Gatesville, TX 76528-1421
Phone
(360) 286-3001
NPI assigned
May 22, 2020
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10135TG TX Primary

Addresses

Primary practice location

113 N Lutterloh Ave
Gatesville, TX 76528-1421

Mailing address

113 N Lutterloh Ave
Gatesville, TX 76528-1421
Phone (254) 865-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20210726001211 TX Practitioner - Optometry 7315340569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 N Lutterloh Ave
Gatesville, TX 76528-1421
Phone (254) 865-7979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gatesville Eye Care CurrentSince Nov 1, 2021 Accepting new patients
Vision Concepts Past Accepting new patients

Locations

113 N Lutterloh Ave
Gatesville, TX 76528
Phone (254) 865-7979

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1386267540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281421",
            "telephone_number": "254-865-7979",
            "fax_number": "254-865-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N LUTTERLOH AVE",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281421",
            "telephone_number": "360-286-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWN",
        "first_name": "JOSHUA",
        "middle_name": "SCOTT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10135TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

Verify at the official NPI Registry.