Individual provider Active NPI

Jason McCord, O.D.

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1467650499
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1581 Issued in AZ
Practice address
3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412
Phone
(480) 820-9880
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1581 AZ Primary

Addresses

Primary practice location

3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412

Mailing address

3900 W Ray Rd
Suite #1
Chandler, AZ 85226-2412
Phone (480) 820-9880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210826001538 PA Practitioner - Optometry 3476644832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Gallery Inc.Group PAC ID 6608813381, 4 clinicians

Practice addresses (Care Compare)

609 E McMurray Rd
MC Murray, PA 15317-3419
Phone (724) 941-3930

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1581AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Jun 2, 2023 Accepting new patients

Locations

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

301 S Hills Vlg
Pittsburgh, PA 15241
Phone (412) 835-4966

810 Clairton Blvd
Ste 200
Pleasant Hills, PA 15236
Phone (412) 244-3054

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1467650499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 W RAY RD",
            "address_2": "SUITE #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262412",
            "telephone_number": "480-820-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 W RAY RD",
            "address_2": "SUITE #1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262412",
            "telephone_number": "480-820-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "JASON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.