Individual provider Active NPI

Marcus Landon McLean, O.D.

  • Optometrist
  • Abilene, TX
National Provider Identifier
1689013674
Registry record updated Jun 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8225-T Issued in TX
Practice address
4749 Buffalo Gap Rd
Abilene, TX 79606-3304
Phone
(325) 692-9596
Fax
(325) 690-6191
NPI assigned
Jun 23, 2013
Last updated
Jun 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8225-T TX Primary

Addresses

Primary practice location

4749 Buffalo Gap Rd
Abilene, TX 79606-3304

Mailing address

4749 Buffalo Gap Rd
Abilene, TX 79606-3304
Phone (325) 692-9596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20131014000299 TX Practitioner - Optometry 4486888195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Abilene Advanced Eyecare Inc.Group PAC ID 6002714342, 6 clinicians

Practice addresses (Care Compare)

4749 Buffalo Gap Rd
Abilene, TX 79606-3304
Phone (325) 692-9596

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8225TXMDSports Physician Chiropractor
8225-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Advanced Eyecare Inc. Optometrist CurrentSince Jul 26, 2013 Accepting new patients

Locations

4749 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 267-6040

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371945600000",
    "number": "1689013674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063304",
            "telephone_number": "325-692-9596",
            "fax_number": "325-690-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 BUFFALO GAP RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063304",
            "telephone_number": "325-692-9596",
            "fax_number": "325-690-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MARCUS",
        "middle_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-23",
        "last_updated": "2013-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8225-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.