Active NPI
Richard Scott McAfee Jr., OD
- Optometrist
- Valparaiso, IN
National Provider Identifier
1821148800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002928A
- Practice address
- 3540 Calumet Ave
Valparaiso, IN 46383-2246 - Phone
- (219) 462-5113
- Fax
- (219) 462-5398
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002928A | IN | Primary |
Addresses
Primary practice location
3540 Calumet Ave
Valparaiso, IN 46383-2246
Mailing address
5455 Harrison Park LN
Indianapolis, IN 46216-2245
Phone (317) 254-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200352150 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002928A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
Locations
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
Organizations & group practices 3
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.
-
- Optometrist
- Lithonia, GA
- NPI 1417055203
-
- Eyewear Supplier
- Savannah, GA
- NPI 1518375500
-
- Optometrist
- Indianapolis, IN
- NPI 1407134950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1821148800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 HARRISON PARK LN",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462162245",
"telephone_number": "317-254-6480",
"fax_number": "317-259-8609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 CALUMET AVE",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463832246",
"telephone_number": "219-462-5113",
"fax_number": "219-462-5398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCAFEE",
"first_name": "RICHARD",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002928A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200352150",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.