Physician Compare National (NPI:1003877564)

HEALTHCARE PROVIDER: LAURIE COLLEEN MCCALL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1003877564
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1052306396
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040416000988
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MCCALL
	Individual professional last name
Provider First Name	LAURIE
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1280 S VICTORIA AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	VENTURA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	930036551
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8056421699
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y