Julie Ann Mackall, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5492 Issued in OH

Practice address

2400 Southeast Blvd
Suite a
Salem, OH 44460

Phone

(330) 332-4501

Fax

(330) 332-4540

NPI assigned

Nov 22, 2006

Last updated

Jan 2, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Julie Ann Olinger Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Julie a. Mackall OD LLCGroup PAC ID 3870544398, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Julie a. Mackall OD LLC

  • Optometrist
  • Salem, OH
  • NPI 1871738898
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1659446698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD STE A",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603482",
            "telephone_number": "330-332-4501",
            "fax_number": "330-332-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD",
            "address_2": "SUITE A",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "44460",
            "telephone_number": "330-332-4501",
            "fax_number": "330-332-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKALL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000350487",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "OLINGER",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yolanda Loyer
• Crystal Kay Lucas
• Barbara Ann Lutton
• Danielle Renee Macabobby, MD
• Kristin Renay Mack
• Monica Jean Macklin, COTA/L
• John Robert Madison, MD
• Michael Edward Madison, MD
• Andrew Malcomson, APRN
• Marathon Health LLC

• Optometrist in Salem, OH
• Providers in Salem, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.