Mary Grace McCubbin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000002902 Issued in TN

Practice address

1764 Gallatin Pike N
Pearle Vision
Madison, TN 37115-2122

Phone

(615) 865-8412

Fax

(615) 865-8470

NPI assigned

Aug 26, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

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

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lascassas Eye Care PLLC

  • Optometrist
  • Lascassas, TN
  • NPI 1932492717
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1740413616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9186 OREGON RD",
            "city": "LASCASSAS",
            "state": "TN",
            "postal_code": "370854430",
            "telephone_number": "615-273-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 GALLATIN PIKE N",
            "address_2": "PEARLE VISION",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152122",
            "telephone_number": "615-865-8412",
            "fax_number": "615-865-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000002902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela McCauley
• Shanndor McClain
• Sydney Elise McClain, OTD, OTR/L
• Yolanda M McClinton, HOME HEALTH AIDE
• Christian McClung
• Murphy M McDermott
• Kristin Storey McDonald
• Connor Ross McGee
• Ryann Leigh McGuire, NP-C
• Garrett McKenna, CRNA

• Optometrist in Madison, TN
• Providers in Madison, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.