Active NPI
Richard C McClurg, OD
- Optometrist
- Canal Winchester, OH
National Provider Identifier
1972688190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2710-T-557
- Practice address
- 20 S High St
Canal Winchester, OH 43110-1251 - Phone
- (614) 837-7725
- Fax
- (614) 837-7301
- NPI assigned
- Oct 26, 2006
- Last updated
- Mar 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2710-T-557 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0030933 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2710-T-557 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard C McClurg, OD & William Murray, OD LLC | Optometrist | Current | Accepting new patients |
Locations
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
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Canal Winchester, OH
- NPI 1922204809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1972688190",
"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": {
"last_name": "MCCLURG",
"first_name": "RICHARD",
"middle_name": "C",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "2710-T-557",
"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 6, 2014; 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.