Individual provider Active NPI

Kathy Yvonne McCain, O.D.

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1831231505
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4399 Issued in TX
Practice address
6000 Town East Mall
Mesquite, TX 75150-4132
Phone
(972) 279-5411
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4399 TX Primary
Optometrist 152W00000X 1678 FL
Optometrist 152W00000X 955 GA

Addresses

Primary practice location

6000 Town East Mall
Mesquite, TX 75150-4132

Mailing address

6000 Town East Mall
Mesquite, TX 75150-4132
Phone (972) 279-5411

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
I20160202002234 TX Practitioner - Optometry 8325342967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1678FLMDOptometrist
955GAMDOptometrist
4399TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JW Eye Associates, PLLC Optometrist CurrentSince Nov 1, 2015 Accepting new patients
JW Eye Associates, PLLC Optometrist CurrentSince Nov 1, 2015 Accepting new patients

Locations

11442 N Central Expy
Dallas, TX 75243
Phone (214) 220-3937

2801 Lemmon Ave
Ste 400
Dallas, TX 75204
Phone (214) 303-1033

1220 N Town East Blvd
Ste 220
Mesquite, TX 75150
Phone (972) 613-9000

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831231505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504132",
            "telephone_number": "972-279-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 TOWN EAST MALL",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504132",
            "telephone_number": "972-279-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "KATHY",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4399",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1678",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "955",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.