Wayne Allan McClure, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

LA867-145T Issued in LA

Practice address

2710 Ryan St
Lake Charles, LA 70601-7328

Phone

(337) 494-1890

Fax

(337) 439-1650

NPI assigned

Aug 3, 2006

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 3

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

Specialty

Optometry

Education

Southern College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669480877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017328",
            "telephone_number": "337-494-1890",
            "fax_number": "337-439-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017328",
            "telephone_number": "337-494-1890",
            "fax_number": "337-439-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "WAYNE",
        "middle_name": "ALLAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "LA867-145T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2470B",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1374075",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5406453",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey A McCauley, O.D.
• Matthew McCauley, MA, LPC-I
• Michael McCauley
• Angela Jo McClelland, RAC
• Arthur Clinton McClelland, D.C.
• Melvin McCoy
• Nicole McCoy
• Elizabeth Ann McCutchen, AU.D.
• Victoria Lynn McDaniel, DNP, FNP-C
• Aaron David McDonald, EDS, MED, LAT

• All providers in Lake Charles, LA
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.