CHARLES OWEN MCCORMICK M.D. NPI 1700879830

NPI Information

NPI: 1700879830
Provider Name: CHARLES OWEN MCCORMICK, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
30 N EMERSON AVE
GREENWOOD, IN
ZIP 46143
Phone: (317) 881-3937
Get Directions

Charles Owen Mccormick, M.D. is an ophthalmology in Greenwood, IN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Charles Owen Mccormick, M.D. NPI is 1700879830. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

30 N EMERSON AVE
GREENWOOD, IN
ZIP 46143-895
Phone: (317) 881-3937
Fax: (317) 887-4008

The enumeration date for this NPI number is 8/24/2005 and was last updated on 2/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology		01026314A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000000011606	OTHER	INDIANA	SENIOR SMART CHOICE
2	180044022	OTHER	INDIANA	RAILROAD MEDICARE
3	186660B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	MEDICARE
4	000000011606	OTHER	INDIANA	MPLAN
5	000000214798	OTHER	INDIANA	BCBS
6	D69628	MEDICARE UPIN	INDIANA
7	154727	OTHER	INDIANA	COLE VISION
8	AETNA	OTHER	INDIANA	AETNA
9	352129520	OTHER	INDIANA	UNITED MINE WORKERS
10	100154690	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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