McKinnon Eye Clinic PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

27825 Issued in NC

Legal business name

MCKINNON EYE CLINIC PA

Practice address

1835 Davie Avenue
Suite 413
Statesville, NC 28677

Phone

(704) 873-1463

Fax

(704) 873-1467

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steve M McKinnon, MD

Title

President

Phone

(704) 873-1463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1750456836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28687",
            "telephone_number": "704-873-1463",
            "fax_number": "704-873-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DAVIE AVENUE",
            "address_2": "SUITE 413",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "28677",
            "telephone_number": "704-873-1463",
            "fax_number": "704-873-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNON EYE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "MCKINNON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-873-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "27825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890206X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Jul 8, 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.