Individual provider Active NPI

Keith Lyndon McCormick, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Tucson, AZ
National Provider Identifier
1912970815
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
79362 Issued in AZ
Practice address
395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone
(520) 327-3487
Fax
(520) 327-3488
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 79362 AZ
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 79362 AZ Primary

Addresses

Primary practice location

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981

Mailing address

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 1

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Other practice location 2

3055 W Ina Rd Ste 121
Tucson, AZ 85741-2136
Phone (520) 327-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070220000652 NC Practitioner - Ophthalmology 6800998915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2011 Falls Valley Dr
Suite 100
Raleigh, NC 27615-3451

2224 Dockvale Dr
Fayetteville, NC 28306-4509

5 1Stvillage Dr
PO Box 2000
Pinehurst, NC 28374

PO Box
Suite 2000
Pinehurst, NC 28374-2000

Merit-based Incentive Payment System (MIPS)

Final score
95.9 of 100Reported as group
Quality
100
Improvement activities
40
Cost
86.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Surgical Clinic PA CurrentSince Jul 1, 2022 Accepting new patients
Vision International PA Ophthalmology CurrentSince Jun 1, 2024 Accepting new patients
Christopher M Seniw MD PC Ophthalmology PastSince Nov 11, 2002 Accepting new patients
Sean J. McCafferty, MD, PC Ophthalmology PastSince May 25, 2021 Accepting new patients
North Raleigh Ophthalmology, P.a. Ophthalmology PastSince Aug 16, 2010 Accepting new patients

Locations

2047 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 485-3937

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

Interoperability endpoints

  • Direct secure messaging: kmccormick@cvc.intellechartdirect.net

Organizations & group practices 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1912970815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SILVERBELL RD STE 355",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452981",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2177 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3055 W Ina Rd Ste 121",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412136",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "fax_number": "520-327-3488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KEITH",
        "middle_name": "LYNDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "79362",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "AZ",
            "license": "79362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.