John A. McCall Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T2443 Issued in TX

Practice address

711 E Goliad Ave
Crockett, TX 75835-2140

Phone

(936) 544-3763

Fax

(936) 544-7894

NPI assigned

Nov 3, 2006

Last updated

Dec 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

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 2

Specialty

Optometry

Education

University of Houston - College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ja McCall Clinic LLCGroup PAC ID 0749529246, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ja McCall Clinic LLC

  • Optometrist
  • Crockett, TX
  • NPI 1063983039
  Medicare reassignment Care Compare group NPD Authorized official
• McCall & McCall

  • Optometrist
  • Crockett, TX
  • NPI 1336360619
  Authorized official Same address or phone

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1629157177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E GOLIAD AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352140",
            "telephone_number": "936-544-3763",
            "fax_number": "936-544-7894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E GOLIAD AVE",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758352140",
            "telephone_number": "936-544-3763",
            "fax_number": "936-544-7894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALL",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "T2443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093147902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063983039",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Martin
• Robelle Balsita Martinez, PT
• Mary Martin Private Duty Nursing Services Incorporated
• T Wayne Mask, D.C.
• McCall & McCall
• Matthew Ream McCall, OD
• McDonald Family Health Center LLC
• Toni Loraine McDonald, M.S.N., R.N., F.N.P.
• Michael R McLeod, M.D.
• Michaela Lynn McLeod

• Optometrist in Crockett, TX
• Providers in Crockett, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.

Verify at the official NPI Registry.