Organization Active NPI

McCain Family Eyecare, LLC

  • Optometrist
  • Lake Charles, LA
National Provider Identifier
1407321961
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MCCAIN FAMILY EYECARE, LLC
Practice address
4816 Nelson Rd
Lake Charles, LA 70605-5214
Phone
(337) 372-1333
NPI assigned
Oct 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Lauren M McCain, ODNPI 1467961342
Title
President
Phone
(337) 372-1333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4816 Nelson Rd
Lake Charles, LA 70605-5214

Mailing address

4816 Nelson Rd
Lake Charles, LA 70605-5214
Phone (337) 372-1333

Other identifiers 1

IdentifierTypeStateIssuer
1885-820ATOtherLASTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181222000205 LA Part B Supplier - Clinic/Group Practice 8224373071 Receives reassigned benefits from 2 practitioners
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

836 University Dr
Lake Charles, LA 70605
Phone (337) 372-1333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1407321961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4816 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055214",
            "telephone_number": "337-372-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055214",
            "telephone_number": "337-372-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCAIN FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "MCCAIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-372-1333",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1885-820AT",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.