Individual provider Active NPI

Lindsey Brooke McCallon, OD

  • Optometrist
  • Auburn, AL
National Provider Identifier
1760158257
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SE72TAC31 Issued in AL
Practice address
2900 E University Dr Ste 110
Auburn, AL 36830-7729
Phone
(334) 539-5391
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SE72TAC31 AL Primary

Addresses

Primary practice location

2900 E University Dr Ste 110
Auburn, AL 36830-7729

Mailing address

2900 E University Dr Ste 110
Auburn, AL 36830-7729
Phone (334) 539-5391

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Auburn

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220210001957 AL Practitioner - Optometry 2365835535 Reassigns benefits to 2 organizations
I20230412002735 KY Practitioner - Optometry 2365835535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfield Family Eyecare, LLCGroup PAC ID 2365603701, 2 clinicians

Practice addresses (Care Compare)

333 S 6TH St
Mayfield, KY 42066-2309
Phone (270) 247-5532

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SE72TAC31ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eye Associates Opelika LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
Premier Eye Associates, LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Parker Eye Care, PLLC Optometrist CurrentSince Sep 7, 2024 Accepting new patients
Dr. Robert F Hailey, DPM PSC PastSince Apr 10, 2023 Accepting new patients

Locations

2900 E University Dr
Ste 23
Auburn, AL 36830

2900 E University Dr
Ste 110
Auburn, AL 36830
Phone (334) 502-2440

2801 Frederick Rd
Opelika, AL 36801
Phone (334) 539-5391

258 Lakota Dr
Cadiz, KY 42211
Phone (270) 206-9067

Organizations & group practices 5

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1760158257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E UNIVERSITY DR STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307729",
            "telephone_number": "334-539-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E UNIVERSITY DR STE 110",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307729",
            "telephone_number": "334-539-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLON",
        "first_name": "LINDSEY",
        "middle_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SE72TAC31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Auburn",
            "affiliation": "N",
            "address_1": "2900 E University Dr Ste 110",
            "city": "Auburn",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368307729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.