William Eugene McCoy, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02339 Issued in MO

Practice address

405 W 4TH St
Salem, MO 65560-1212

Phone

(573) 729-3937

Fax

(573) 729-6298

NPI assigned

May 5, 2006

Last updated

Mar 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

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

Southern College of Optometry, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Bill McCoy, O.D., P.C.

  • Optometrist
  • Salem, MO
  • NPI 1689840027
  Medicare reassignment

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1801844543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601212",
            "telephone_number": "573-729-3937",
            "fax_number": "573-729-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W 4TH ST",
            "city": "SALEM",
            "state": "MO",
            "postal_code": "655601212",
            "telephone_number": "573-729-3937",
            "fax_number": "573-729-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "WILLIAM",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310570502",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDI",
            "identifier": "410011674",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mahurin, RN
• Maple Investment Group LLC (Salem Residential Care)
• Lisa Martin, LPN
• Joshua Maurer, PMHNP
• Wayneth McComas
• Medley Pharmacy Inc (Sinks Pharmacy)
• Medley Pharmacy Inc (LTC Sinks Pharmacy)
• Mercy Clinic Springfield Communities (Mercy Clinic Family Medicine-Salem)
• Lisa Marie Monroe, P.T.
• Melody Marie Montgomery, PHARMD

• Optometrist in Salem, MO
• Providers in Salem, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.