Individual provider Active NPI

Allan McCleary, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1770074742
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9585T Issued in TX
Practice address
7140 Preston Rd Ste 300
Plano, TX 75024
Phone
(801) 878-9042
NPI assigned
May 24, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10828839-9934 UT
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9585T TX Primary

Addresses

Primary practice location

7140 Preston Rd Ste 300
Plano, TX 75024

Mailing address

850 Leora LN Apt 534
Lewisville, TX 75056-4627

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
I20191029002206 TX Practitioner - Optometry 4981936622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9585TXMDChiropractor
9585TTXMDOptometrist
10828839-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word Optometrist CurrentSince Sep 1, 2019 Accepting new patients
University of the Incarnate Word CurrentSince Sep 1, 2019 Accepting new patients

Locations

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1770074742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 LEORA LN APT 534",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 PRESTON RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "801-878-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "ALLAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "10828839-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9585T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.