Active NPI
Jessica A. McCullen, O.D.
- Optometrist
- Osceola, IA
National Provider Identifier
1518220102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002554
- Practice address
- 147 S Main St
Osceola, IA 50213-1218 - Phone
- (641) 342-2737
- Fax
- (641) 342-4474
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 002554 | IA | Primary |
Addresses
Primary practice location
147 S Main St
Osceola, IA 50213-1218
Mailing address
131 N Main St
Chariton, IA 50049-1270
Phone (641) 774-7507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- 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 |
|---|---|---|---|---|
| I20120926000529 | IA | Practitioner - Optometry | 3072762558 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 3
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.
-
- Eyewear Supplier
- Ottumwa, IA
- NPI 1245416155
-
- Eyewear Supplier
- Chariton, IA
- NPI 1982881850
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osceola Vision Center PC
Practice addresses (Care Compare)
816 Albia Rd
Ottumwa, IA 52501-4126
Phone (641) 774-7507
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 29 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1518220102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 N MAIN ST",
"city": "CHARITON",
"state": "IA",
"postal_code": "500491270",
"telephone_number": "641-774-7507",
"fax_number": "641-774-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 S MAIN ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131218",
"telephone_number": "641-342-2737",
"fax_number": "641-342-4474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLEN",
"first_name": "JESSICA",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "002554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.