Steve Malone McKinnon, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

27825 Issued in NC

Practice address

1835 Davie Ave
413
Statesville, NC 28677-3578

Phone

(704) 873-1463

Fax

(704) 873-1467

NPI assigned

May 16, 2007

Last updated

Oct 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• McKinnon Eye Clinic PA

  • Ophthalmology Physician
  • Statesville, NC
  • NPI 1750456836
  Authorized official Same address or phone
• McKinnon Eye Clinic, P.a.

  • Ophthalmology Physician
  • Taylorsville, NC
  • NPI 1083903074
  Authorized official Same address or phone
• M & M Optical, Inc

  dba Pearle Vision

  • Optometrist
  • Norwalk, CT
  • NPI 1730208091
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1669688495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991",
            "address_2": "413",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870991",
            "telephone_number": "704-873-1463",
            "fax_number": "704-873-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DAVIE AVE",
            "address_2": "413",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773578",
            "telephone_number": "704-873-1463",
            "fax_number": "704-873-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "STEVE",
        "middle_name": "MALONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "27825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Benjamin McGrew
• Mary Ann Wright McHenry, FNP
• Gregory James McKettrick, RPH
• David Lee McKinley, DO
• McKinnon Eye Clinic PA
• Rodney Leonard McKnight Jr., CRNA
• Nickysha McKoy, LPN
• Amy Elizabeth McLaurin, M.D.
• McLelland Shoes Inc
• James Godfrey McLelland Jr.

• Ophthalmology Physician in Statesville, NC
• Providers in Statesville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.