McCloud Eye Care Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1585DT Issued in KY

Legal business name

MCCLOUD EYE CARE CENTER INC

Practice address

107 E Main St
Grayson, KY 41143-1301

Phone

(606) 474-5149

Fax

(606) 474-0648

NPI assigned

Nov 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason H McCloud, ODNPI 1679505507

Title

Optometrist

Phone

(606) 474-5149

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Jason H McCloud, O.D.

  • Optometrist
  • Grayson, KY
  • NPI 1679505507
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1497936256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431301",
            "telephone_number": "606-474-5149",
            "fax_number": "606-474-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431301",
            "telephone_number": "606-474-5149",
            "fax_number": "606-474-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOUD EYE CARE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "606-474-5149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1585DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "7987",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903649",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000859",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maranda Manns, OT
• Kara Marsh
• Thomas Lee Mattingly, RPH
• Johnny Mauk
• Greg Matthew Mayhorn
• Jason H McCloud, O.D.
• Lori McDavid
• Susan Nolty McDavid, APRN
• Megan Jane McDowell, APRN
• Boyd J McGlone

• Optometrist in Grayson, KY
• Providers in Grayson, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.