Individual provider Active NPI

Michael C McClay, O.D.

  • Optometrist
  • Columbia, SC
National Provider Identifier
1881669802
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
579 Issued in SC
Practice address
7499 Parklane Rd
Suite 160
Columbia, SC 29223-7650
Phone
(803) 741-7177
Fax
(803) 741-7776
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 579 SC Primary

Addresses

Primary practice location

7499 Parklane Rd
Suite 160
Columbia, SC 29223-7650

Mailing address

7499 Parklane Rd
Suite 160
Columbia, SC 29223-7650
Phone (803) 741-7177

Other identifiers 1

IdentifierTypeStateIssuer
393278MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20040506001077 SC Practitioner - Optometry 1951390988 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Eyecare, Inc. Optometrist Past Accepting new patients
F Mason Smith Optometrist Past Accepting new patients
DRS Eyecare Inc Optometrist PastSince May 6, 2004 Accepting new patients

Organizations & group practices 4

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1881669802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7499 PARKLANE RD",
            "address_2": "SUITE 160",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237650",
            "telephone_number": "803-741-7177",
            "fax_number": "803-741-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7499 PARKLANE RD",
            "address_2": "SUITE 160",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292237650",
            "telephone_number": "803-741-7177",
            "fax_number": "803-741-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393278",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.