Provider Demographics
NPI:1336217033
Name:MICHAEL J. MCCARTY O.D. PC
Entity Type:Organization
Organization Name:MICHAEL J. MCCARTY O.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMITRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:508-998-5411
Mailing Address - Street 1:1022 ASHLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-2416
Mailing Address - Country:US
Mailing Address - Phone:508-998-5411
Mailing Address - Fax:508-985-9047
Practice Address - Street 1:1022 ASHLEY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-2416
Practice Address - Country:US
Practice Address - Phone:508-998-5411
Practice Address - Fax:508-985-9047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2260152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000000023113OtherBMC NB
MA017348451OtherGIC IDEMITY PLAN
MA15052OtherHARVARD PILGRIM
MA731297OtherTUFTS MEDICARE PREFERRED
MAW15560OtherBCBC MEDEX
MAW15560OtherBLUE CHIP
MA000000030319OtherBMC FR
MA0004719OtherNEIGHBORHOOD HEALTH
MA017348451OtherGROUP INS. SERVICE CTR.
MA22-01019OtherUNITED HEALTH CARE
MAW15560OtherBCBS OF MA
MA017348451OtherANTHEM
MA731297OtherTUFTS HEALTH CARE
MA017348451OtherVISION BENEFITS OF AMER.
MA0310557Medicaid
MA000000030320OtherBMC T
MA017348451OtherVISION SERVICE PLAN
MA15052OtherHARVARD PILGRIM 1ST SEN.
MA731297OtherTUFTS MEDICARE PREFERRED
MA=========OtherCHILDRENS MED. SECURITY