Richard McCullough, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2990 Issued in OH

Practice address

618 S 2ND St
Coshocton, OH 43812-1909

Phone

(740) 623-0110

Fax

(740) 623-0318

NPI assigned

Sep 11, 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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Procare Vision Centers IncGroup PAC ID 1456253640, 2 clinicians

Coshocton Vision LLCGroup PAC ID 2769638253, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coshocton Vision LLC

  • Optometrist
  • Coshocton, OH
  • NPI 1548518012
  Medicare reassignment Care Compare group NPD
• Procare Vision Centers Inc

  • Optometrist
  • Granville, OH
  • NPI 1326022054
  Medicare reassignment Care Compare group NPD
• Alan Joseph Patterson, OD

  • Optometrist
  • Zanesville, OH
  • NPI 1457344087
  Medicare reassignment
• Innovative Optics,Inc

  • Optometrist
  • Coshocton, OH
  • NPI 1730323320
  NPD (past) Authorized official
• Erdey Searcy Eye Group, Inc

  • Ophthalmology Physician
  • Granville, OH
  • NPI 1013976539
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1992809057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 S 2ND ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121909",
            "telephone_number": "740-623-0110",
            "fax_number": "740-623-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "2990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251981",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marissa Sue McCleary, APRN FNP-BC
• Catherine Claire McConnell
• Amy McCoy
• Megan A McCoy
• Sarah R McCoy
• Brittany McCune
• Sandra Jo McElhaney, AAS, QMHS
• Steve Edward McKee, M.D.
• Thomas J McKeown, C.R.N.A.
• Laura McMullen, COCA

• Optometrist in Coshocton, OH
• Providers in Coshocton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; 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.