McDoug Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

MCDOUG INC

Doing business as

Eye Tech Opticians

Practice address

804 State Street
Suite 1
Quincy, IL 62301

Phone

(217) 224-6168

Fax

(217) 224-5165

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Chris Dell Dougherty

Title

Owner/Manager

Phone

(217) 224-6168

Specialties & licenses 1

Addresses

Other names 1

• Eye Tech Opticians Doing business as

Locations

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1700063765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 STATE STREET",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-224-6168",
            "fax_number": "217-224-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 STATE STREET",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "62301",
            "telephone_number": "217-224-6168",
            "fax_number": "217-224-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "217-224-6168",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Tech Opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianne Leslie McClain, M.A.
• Lu Anne McClean, DMD
• Anna Marie McCormick, M.D.
• Tamara Christene McDonald, CRNA
• Emily McDonnell, PT
• John H McDougall, O.D.
• Christina McDowell, RN, IBCLC
• John Stanley McDowell, MSW, MHP
• Shyheme McElroy, DMD
• Andrew T McEntee, DMD

• Eyewear Supplier in Quincy, IL
• Providers in Quincy, IL by specialty
• Eyewear Supplier in Illinois

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