Walter Craig McCormick, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

904 Issued in NE

Practice address

503 McMillan St
Holdrege, NE 68949-2052

Phone

(308) 995-8697

Fax

(308) 995-6931

NPI assigned

Jun 15, 2005

Last updated

Feb 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdrege Family Vision Clinic PCGroup PAC ID 1254437346, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Holdrege Family Vision Clinic PC

  • Optometrist
  • Holdrege, NE
  • NPI 1700881968
  Medicare reassignment Care Compare group NPD
• Holdrege Family Vision Clinic PC

  dba Family Vision

  • Optometrist
  • Alma, NE
  • NPI 1477870939
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1992700140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697",
            "fax_number": "308-995-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492052",
            "telephone_number": "308-995-8697",
            "fax_number": "308-995-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "WALTER",
        "middle_name": "CRAIG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6885",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "8077",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Lynne Luthy, PA-C
• Juanita Marie Lyon, SPEECH PATHOLOGIST
• Angela Sue Marquardt, PMHP
• Paige Olivia Marquardt, CCC-SLP
• Nicole L Mattson, M.S.
• Sarah McDiarmid
• Jeanette Lynne McMullen
• Sara Elizabeth McQuistan, CRNA
• Meals on Wheels Inc
• Ana M Medina Espinoza

• Optometrist in Holdrege, NE
• Providers in Holdrege, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.