Individual provider Active NPI

John D McDowall, O.D

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1649221698
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1911 Issued in WA
Practice address
766 St Helens Ave
Tacoma, WA 98402-3706
Phone
(253) 627-8711
Fax
(253) 627-1104
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1911 WA Primary

Addresses

Primary practice location

766 St Helens Ave
Tacoma, WA 98402-3706

Mailing address

766 St Helens Ave
Tacoma, WA 98402-3706
Phone (253) 627-8711

Other identifiers 1

IdentifierTypeStateIssuer
2029841MedicaidWA

Other names 1

  • John D McDowall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1649221698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023706",
            "telephone_number": "253-627-8711",
            "fax_number": "253-627-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 ST HELENS AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023706",
            "telephone_number": "253-627-8711",
            "fax_number": "253-627-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWALL",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2029841",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "MCDOWALL",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.