Individual provider Active NPI

Clair McCaskill, O.D.

  • Optometrist
  • Cairo, GA
National Provider Identifier
1881641348
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001929 Issued in GA
Practice address
321 N Broad St
Cairo, GA 39828-2110
Phone
(229) 377-5432
Fax
(229) 377-5012
NPI assigned
May 30, 2006
Last updated
Aug 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001929 GA Primary

Addresses

Primary practice location

321 N Broad St
Cairo, GA 39828-2110

Mailing address

PO Box 487
Cairo, GA 39828-0487
Phone (229) 377-5432

Other identifiers 1

IdentifierTypeStateIssuer
00966611AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001536 GA Practitioner - Optometry 1557252319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cairo Eye Care, LLCGroup PAC ID 3870484637, 2 clinicians

Practice addresses (Care Compare)

321 N Broad St
Cairo, GA 39828-2110
Phone (229) 377-5432

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001929GAMDProfessional Counselor
1929GAMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cairo Eye Care, LLC Optometrist CurrentSince Jan 1, 2004 Accepting new patients

Locations

321 N Broad St
Cairo, GA 39828
Phone (229) 377-5432

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1881641348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398280487",
            "telephone_number": "229-377-5432",
            "fax_number": "229-377-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398282110",
            "telephone_number": "229-377-5432",
            "fax_number": "229-377-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCASKILL",
        "first_name": "CLAIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966611A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cairo, GA

Sources for this page

Verify at the official NPI Registry.