Julie a. Mackall OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5492T2404 Issued in OH

Legal business name

JULIE A. MACKALL OD LLC

Practice address

2400 Southeast Blvd Ste a
Salem, OH 44460-3482

Phone

(330) 332-4501

Fax

(330) 332-4540

NPI assigned

Dec 4, 2008

Last updated

Mar 17, 2018By 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

Julie A Mackall, ODNPI 1659446698

Title

Doctor

Phone

(330) 332-4501

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Mackall, OD

  • Optometrist
  • Salem, OH
  • NPI 1659446698
  Medicare reassignment Care Compare group Authorized official
• Carmela Abraham, OD

  • Vision Therapy Optometrist
  • Salem, OH
  • NPI 1942365291
  Medicare reassignment Care Compare group NPD
• Megan Elise Leyda, O.D.

  • Optometrist
  • Twinsburg, OH
  • NPI 1306232590
  Medicare reassignment Care Compare group NPD
• Herbert J Shultz, OD

  • Optometrist
  • Salem, OH
  • NPI 1013082056
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1871738898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD STE A",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SOUTHEAST BLVD STE A",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444603482",
            "telephone_number": "330-332-4501",
            "fax_number": "330-332-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Carriage Dr",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444088306",
            "country_code": "US",
            "telephone_number": "330-892-0359",
            "fax_number": "330-892-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JULIE A. MACKALL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MACKALL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "330-332-4501",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5492T2404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2803210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Jarrett
• Monique Jimperson
• John R Madison MD, Inc
• Kristi A Johnson, MD
• Joseph J Scott, D.C., LLC
• Marcus John Julius, M.D.
• Ka Wellness and Nutrition LLC
• Rickie Lynn Kelley, PTA
• Chris Kemen, MD
• Christa Kempinski, APRN

• Optometrist in Salem, OH
• Providers in Salem, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.