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Deactivated NPI 1285641555 Deactivated / Inactive NPI Male Practitioner

Dr. Earl F Mccullough , OD

Optometrist • Altus, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Earl Mccullough has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 01, 2006
NPI Deactivation Date January 03, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Earl Mccullough, OD was a registered Optometrist practicing in Altus, OK. Throughout an active medical career spanning 14 years, Dr. Mccullough provided care at the practice location at 1003 N MAIN ST until profile deactivation on 2020-01-03.

Practice Location & Contact Primary Location

Practice Address

1003 N Main St
Suite B

Altus, OK 735213119

Telephone 5804771249
Fax 5804771257

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Altus, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.7 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Altus, OK (943 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OK 1009

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 03, 2020

Record deactivated on January 03, 2020

NPI Profile Active November 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 03, 2011

Registered at 1003 N MAIN ST, SUITE B, ALTUS, OK 735213119 (Tel: 5804771249)

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Updated Business Mailing Address November 03, 2011

Registered at 1003 N MAIN ST, SUITE B, ALTUS, OK 735213119 (Tel: 5804771249)

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Provider Name / Credentials Updated November 03, 2011

Recorded as EARL MCCULLOUGH, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2011

Optometrist (License #1009 in OK)

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Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285641555
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: November 03, 2011
Deactivation Date: January 03, 2020

Mailing Address

1003 N Main St, Suite B

Altus, OK 735213119

Phone: 5804771249

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.