Andrew Thomas McCan, OD
Individual provider Active NPI Optometrist · Bakersfield, CA
NPI 1558084541 · NPPES record last updated Sep 23, 2022
Key facts
- NPI
- 1558084541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 35320 (CA)
- Practice address
- 5535 Calloway Dr # 100
Bakersfield, CA 93312-9725 - Phone
- (661) 589-9870
- NPI assigned
- Sep 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ace Eyecare Inc
Practice addresses (Care Compare)
1721 Westwind Dr
Suite B
Bakersfield, CA 93301-3026
Phone (661) 215-1006
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221027000722 | CA | Practitioner - Optometry | 4688041072 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fifth Optometric Care of California | Optometrist | Current | Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current |
Accepting new patients |
| Fifth Optometric Care of California | Optometrist | Current |
Accepting new patients |
| Bakersfield Optometric Group | Optometrist | Current |
Accepting new patients |
| Ace Eyecare Inc | Optometrist | Current |
Accepting new patients |
Locations
11320 Ming Ave
Ste 360
Bakersfield, CA 93311
Phone (661) 847-9870
5535 Calloway Dr
#100
Bakersfield, CA 93312
Phone (661) 340-3108
1721 Westwind Dr
#B
Bakersfield, CA 93301
Phone (661) 215-1006
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
417 Center St
Taft, CA 93268
Phone (661) 765-4270
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35320 | CA | Yes |
Addresses
Primary practice location
5535 Calloway Dr # 100
Bakersfield, CA 93312-9725
Mailing address
2406 20TH St
Bakersfield, CA 93301-3414
Phone (661) 808-7045
Other providers in Bakersfield, CA
- Victoria MC Clain
- Susan McArthur
- Albert McBride
- Dustin Max McBride
- Monica McBride
- Lorne Dixon McCan
- Linda Jean McCarthy
- Makena Jean McCaslin
- Sandra Dee McCaslin
- Mathew-Allen McCaster
All providers in Bakersfield, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.