J R McCausland PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

128 Issued in NM

Legal business name

J R MCCAUSLAND PC

Practice address

415 S 2ND St
Tucumcari, NM 88401-2859

Phone

(575) 461-2431

Fax

(575) 461-1246

NPI assigned

Nov 13, 2007

Last updated

Oct 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R McCausland, O.D.

Title

Owner

Phone

(575) 461-2431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1841470341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 2ND ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012859",
            "telephone_number": "575-461-2431",
            "fax_number": "575-461-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 2ND ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012859",
            "telephone_number": "575-461-2431",
            "fax_number": "575-461-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J R MCCAUSLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "MCCAUSLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-461-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P3957",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.