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DR. ROBERT W. MCCULLOUGH
NPI 1639348162
Optometrist in Jonesboro, GA

Active since February 28, 2008
137 W MILL ST, JONESBORO, GA 30236(770) 471-5037 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Robert W. Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT W. MCCULLOUGH (NPI 1639348162) is a healthcare organization registered as an optometrist in Jonesboro, Georgia and active in the NPI registry since February 2008. The organization lists Robert W. Mccullough, Owner, as its authorized official.

NPPES Registry Identity

NPI1639348162
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. ROBERT W. MCCULLOUGH
Location Address137 W MILL STJonesboro, GA 30236-3572
Mailing Address137 W Mill StJonesboro, GA 30236-3572
Phone(770) 471-5037
Organization SubpartNo
Authorized OfficialRobert W. McculloughOwner · (770) 471-5037
Enumeration DateFebruary 28, 2008
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
✔ NPI 1639348162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT000836
Definition
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.
137 W MILL ST, Jonesboro, GA 30236
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert W. Mccullough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Robert W. Mccullough, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Mccullough, O.D.
Optometry
NPI 1235214503
137 W MILL ST
Jonesboro, GA 30236
(770) 471-5037
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Mccullough Robert W D carries, from the Medicare DMEPOS supplier directory.

Mccullough Robert W D

DMEPOS supplier · Jonesboro, GAOperated by Dr. Robert W. Mccullough
✔

Accepts Medicare assignment

Mccullough Robert W D agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20642423
Medicare Participant SinceJanuary 1, 1998
Supplier Location137 W Mill StJonesboro, GA 30236
Phone(770) 471-5037
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Robert W. Mccullough's NPI number?

The NPI number for Dr. Robert W. Mccullough is 1639348162. It was assigned to this organization in the NPPES registry on February 28, 2008.

Where is Dr. Robert W. Mccullough located?

Dr. Robert W. Mccullough is located at 137 W Mill St, Jonesboro, GA 30236. The listed phone number is (770) 471-5037.

What is Dr. Robert W. Mccullough's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr. Robert W. Mccullough enrolled in Medicare?

Yes. Dr. Robert W. Mccullough is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Robert W. Mccullough?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Robert W. Mccullough. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr. Robert W. Mccullough accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mccullough Robert W D accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Dr. Robert W. Mccullough was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.