Mccollough, John S
Mccollough, John S is an individual health care provider with primary practice located at 4406 N Laurent , Victoria TX 77901-2791. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mccollough, John S can be contacted via phone (361) 578-0107.Contact Information
Primary practice address
4406 N Laurent
Victoria TX 77901-2791
Phone: (361) 578-0107
Fax: (361) 578-1320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2620T | Texas |
Profile Details
| NPI number | 1184606535 |
|---|---|
| LBN Legal business name | Mccollough, John S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Aug 14th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184606535 | NPPES |
| Texas | MEDICAID | 127231206 |
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