McLain Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

851 TPA 228 Issued in NE

Legal business name

MCLAIN OPTOMETRY

Practice address

3322 Avenue I
Scottsbluff, NE 69361-4589

Phone

(308) 220-4646

Fax

(308) 220-4548

NPI assigned

Sep 11, 2006

Organization subpart

No

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

Authorized official

Name

Gordon Glen McLain, O.D.

Title

President

Phone

(308) 220-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467556407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 VERBENA PL",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614520",
            "telephone_number": "308-641-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 AVENUE I",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614589",
            "telephone_number": "308-220-4646",
            "fax_number": "308-220-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAIN OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLAIN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-220-4646",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NE",
            "license": "851 TPA 228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025-0512-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia K McCumbers, N.P
• Brittany Christine McDonald, APRN
• Ashley McDonnell, PHARMD
• Eleanor McKnight
• Dawn Elizabeth McKown, PT, ATC
• Amber Rose McLaughlin, DPT
• Aubrey Jane McLellan, APRN
• Med-Trans Corporation
• Medical Imaging Associates PC
• Kerry Mehling

• Optometrist in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.