Active NPI
David W McGee, OD
- Optometrist
- Russellville, AL
National Provider Identifier
1508839010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S397TA057
- Practice address
- 13675 Hwy 43 South
Russellville, AL 35653-2831 - Phone
- (256) 332-1712
- Fax
- (256) 332-1713
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S397TA057 | AL | Primary |
Addresses
Primary practice location
13675 Hwy 43 South
Russellville, AL 35653-2831
Mailing address
111 White Oak LN
Florence, AL 35633-1015
Phone (256) 332-1712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040228000470 | AL | Practitioner - Optometry | 0345137949 | Practice locations: Muscle Shoals, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276732800000",
"number": "1508839010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WHITE OAK LN",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356331015",
"telephone_number": "256-332-1712",
"fax_number": "256-332-1713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13675 HWY 43 SOUTH",
"city": "RUSSELLVILLE",
"state": "AL",
"postal_code": "356532831",
"telephone_number": "256-332-1712",
"fax_number": "256-332-1713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGEE",
"first_name": "DAVID",
"middle_name": "W",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S397TA057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.