Organization Active NPI

McCloy Optical, LLC

Doing business as St. Marys Family Optometry / Oakwood Family Optometry

  • Optometrist
  • Saint Marys, OH
National Provider Identifier
1922376904
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4665 Issued in OH
Legal business name
MCCLOY OPTICAL, LLC
Doing business as
St. Marys Family Optometry / Oakwood Family Optometry
Practice address
140 W Spring St
Saint Marys, OH 45885-2312
Phone
(419) 394-2397
Fax
(419) 394-2398
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Douglas McCloy II, OD
Title
Optometrist
Phone
(419) 394-2397

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4665 OH Primary
Corneal and Contact Management OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WC0802X 4665 OH

Addresses

Primary practice location

140 W Spring St
Saint Marys, OH 45885-2312

Mailing address

140 W Spring St
Saint Marys, OH 45885-2312
Phone (419) 394-2397

Other names 1

  • St. Marys Family Optometry / Oakwood Family Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

140 W Spring St
Saint Marys, OH 45885
Phone (419) 394-2397

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1922376904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-394-2397",
            "fax_number": "419-394-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SPRING ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852312",
            "telephone_number": "419-394-2397",
            "fax_number": "419-394-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOY OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "MCCLOY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "419-394-2397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4665",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys Family Optometry / Oakwood Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Marys, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.