Charles J. McKervey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2693 Issued in MA

Practice address

186 Main St
W.G. Brown BLDG.
Gloucester, MA 01930-6009

Phone

(978) 283-5599

Fax

(978) 283-7946

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932286846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MAIN ST.",
            "address_2": "W.G. BROWN BLDG.",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "01930",
            "telephone_number": "978-283-5599",
            "fax_number": "978-283-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 MAIN ST",
            "address_2": "W.G. BROWN BLDG.",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019306009",
            "telephone_number": "978-283-5599",
            "fax_number": "978-283-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKERVEY",
        "first_name": "CHARLES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen McCurley, LICSW,MPH
• Catherine Adams McDonough, R.N., FNP-BC
• Danielle McGinty
• Laurel McIlroy
• Roderick Forbes McKenzie II, LPN, LADCII, CCDN
• Kathleen E McKinnon, LICSW
• Sarah M McLanahan, LICSW
• Daniel F McManus, LMHC, LADCI, CADAC
• Owen Charles, Sergey McMullen
• Fabian Mejorada

• Optometrist in Gloucester, MA
• Providers in Gloucester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.