John H McDougall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046006875 Issued in IL

Practice address

2445 Broadway St
Quincy, IL 62301-3257

Phone

(217) 222-8800

Fax

(217) 641-0028

NPI assigned

May 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• John H McDougall OD PC

  • Optometrist
  • Lincoln, NE
  • NPI 1245791045
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1780633008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-222-9207",
            "fax_number": "217-222-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-222-8800",
            "fax_number": "217-641-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "JOHN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002541",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02383",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780633008",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780633008",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780633008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lu Anne McClean, DMD
• Anna Marie McCormick, M.D.
• Tamara Christene McDonald, CRNA
• Emily McDonnell, PT
• McDoug Inc
• Christina McDowell, RN, IBCLC
• John Stanley McDowell, MSW, MHP
• Shyheme McElroy, DMD
• Andrew T McEntee, DMD
• Izabelle McGee, AA, CADC

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.