John McCormick Jr.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2621TG Issued in TX

Practice address

12701 Research Blvd
Ste 101
Austin, TX 78759-4325

Phone

(512) 258-2020

Fax

(512) 258-7835

NPI assigned

Jan 9, 2007

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286928000000",
    "number": "1871642173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 RESEARCH BLVD",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594325",
            "telephone_number": "512-258-2020",
            "fax_number": "512-258-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 RESEARCH BLVD",
            "address_2": "STE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594325",
            "telephone_number": "512-258-2020",
            "fax_number": "512-258-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2621TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "82909E",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121602001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121675601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH",
            "identifier": "121602001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Cathleen McCormack, PHARMD
• McCormick Vision PC
• Annette S. McCormick, MD
• Chelsea Bree McCormick, PT, DPT
• Elizabeth Grace McCormick, LMSW
• Joyce Kelly McCormick
• Kelley Anne McCormick, OTR
• Michael McCormick
• Todd Benjamin McCormick, FNP
• William Richard McCormick, D.C.

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.