Maranda Kathryn McGonigle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9656 Issued in TX

Practice address

3916 Kemp Blvd Ste K
Wichita Falls, TX 76308-2119

Phone

(940) 285-6611

NPI assigned

Jul 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarke Eyecare Center LLPGroup PAC ID 1052461944, 4 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 and National Provider Directory roles.

• Clarke Eyecare Center, LLP

  dba Clarke EyeCare Center

  • Optometrist
  • Wichita Falls, TX
  • NPI 1730398306
  Medicare reassignment Care Compare group NPD
• National Vision Inc

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Wichita Falls, TX
  • NPI 1174007207
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1417519117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 COUNTY ROAD 3699",
            "city": "SPRINGTOWN",
            "state": "TX",
            "postal_code": "760823839",
            "telephone_number": "817-629-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 KEMP BLVD STE K",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082119",
            "telephone_number": "940-285-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "MARANDA",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi McGill, RPH
• Travis Hunter McGill
• Kelly Jo McGinley, PTA
• James Robert McGinn, LPC-I
• Trena McGinn
• Tammi Eubank McGuffin, MS CCC
• Gregory Scott McHugh, R.PH
• Miranda McIntire
• Bobbie Jo McKenzie, FNP-C
• Amy Elizabeth McKim-Wood, LPC

• Optometrist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.