JOHN MARK MCGULLION (OD) – Optometrist, NPI 1255123857

JOHN MARK MCGULLION (OD) is a healthcare provider. based in Killeen, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 11359TG (TX). The NPI Number for JOHN MARK MCGULLION (OD) is 1255123857

Main info

Organization
1 Year Of Experience
Accepts Medicare Assignment
Name
JOHN MARK MCGULLION (OD)
NPI
1255123857
Phone
Not provided
Address
3124 E CENTRAL TEXAS EXPY
Enumeration Date
20 May 2025
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
2546904733
Graduation Year
2025 (1 year ago)
PAC ID
1153833561
Group Practice PAC ID
7416008560
Professional Enrollment ID
I20250623001542
Address ID
TX765437333KI3124XEXPY501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for JOHN MARK MCGULLION (OD)

  • 3124 E CENTRAL TEXAS EXPY

    KILLEEN, TX 765437333

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250623001542IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76543)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416008560View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX
-TX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What number should I use to identify JOHN MARK MCGULLION (OD) for billing?
Administrative and clinical systems typically use NPI 1255123857 for JOHN MARK MCGULLION (OD).
Is JOHN MARK MCGULLION (OD)'s NPI status active today?
Active status means JOHN MARK MCGULLION (OD)'s NPI record is not deactivated in the public file.
What does the directory say JOHN MARK MCGULLION (OD) does?
Insurance directories may phrase it differently, but here JOHN MARK MCGULLION (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN MARK MCGULLION (OD)?
JOHN MARK MCGULLION (OD) shows a connection to Killeen, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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