Organization Active NPI

Richard C McClurg, OD & William Murray, OD LLC

  • Optometrist
  • Canal Winchester, OH
National Provider Identifier
1922204809
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4577- Issued in OH
Legal business name
RICHARD C MCCLURG, OD & WILLIAM MURRAY, OD LLC
Practice address
20 S High St
Canal Winchester, OH 43110-1251
Phone
(614) 837-7725
Fax
(614) 837-7301
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Willaim D Murray, O.D.
Title
Owner
Phone
(614) 837-7725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4577- OH Primary

Addresses

Primary practice location

20 S High St
Canal Winchester, OH 43110-1251

Mailing address

20 S High St
Canal Winchester, OH 43110-1251
Phone (614) 837-7725

Other identifiers 1

IdentifierTypeStateIssuer
0030933MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000037 OH Part B Supplier - Clinic/Group Practice 1850312281 Receives reassigned benefits from 3 practitioners
Practice locations: Canal Winchester, OH

National Provider Directory

National Provider Directory

Locations

6335 Winchester Blvd
Canal Winchester, OH 43110
Phone (412) 841-8185

6335 Winchester Blvd
Ste D
Canal Winchester, OH 43110
Phone (614) 837-7725

20 S High St
Canal Wnchstr, OH 43110
Phone (614) 837-7725

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1922204809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S HIGH ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101251",
            "telephone_number": "614-837-7725",
            "fax_number": "614-837-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S HIGH ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101251",
            "telephone_number": "614-837-7725",
            "fax_number": "614-837-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C MCCLURG, OD & WILLIAM MURRAY, OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "WILLAIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-837-7725",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4577-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030933",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.