Individual provider Active NPI

Mason Douglas McCain, OD

  • Optometrist
  • Lake Charles, LA
National Provider Identifier
1548779598
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1884-819AT Issued in LA
Practice address
4816 Nelson Rd
Lake Charles, LA 70605-5214
Phone
(337) 372-1333
NPI assigned
Sep 21, 2017
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1884-819AT LA Primary

Addresses

Primary practice location

4816 Nelson Rd
Lake Charles, LA 70605-5214

Mailing address

PO Box 4293
Lake Charles, LA 70606-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20181026000357 LA Practitioner - Optometry 8820341522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCain Family Eyecare LLCGroup PAC ID 8224373071, 2 clinicians

Practice addresses (Care Compare)

4816 Nelson Rd
Lake Charles, LA 70605-5214
Phone (337) 372-1333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1884-819ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
McCain Family Eyecare, LLC Optometrist CurrentSince Dec 17, 2018 Accepting new patients

Locations

1702 Johnson St
Jennings, LA 70546
Phone (337) 824-1112

836 University Dr
Lake Charles, LA 70605
Phone (337) 372-1333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1548779598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4293",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4816 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055214",
            "telephone_number": "337-372-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "MASON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1884-819AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.