Individual provider Active NPI

Meghan Corkery, O.D.

  • Vision Therapy Optometrist
  • West Hartford, CT
National Provider Identifier
1053763557
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
3020 Issued in CT
Practice address
17 S Main St
West Hartford, CT 06107
Phone
(860) 231-8482
Fax
(860) 231-8791
NPI assigned
Jul 7, 2016
Last updated
Oct 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X TA 2524 MD
Vision Therapy Optometrist 152WV0400X 3020 CT Primary

Addresses

Primary practice location

17 S Main St
West Hartford, CT 06107

Mailing address

16 Walnut St
Willimantic, CT 06226-2315
Phone (860) 423-2565

Other practice location 1

6509 Democracy Blvd
Bethesda, MD 20817-1639
Phone (301) 897-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180529000231 CT Practitioner - Optometry 1052676848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.96 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3020CTMDVision Therapy Optometrist
TA 2524MDMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Northeast, PC CurrentSince Apr 1, 2024 Accepting new patients
Appelbaum Eyecare Associates Vision Therapy PastSince Jan 7, 2015 Accepting new patients

Locations

5 Kennedy Dr
Putnam, CT 06260
Phone (860) 928-0414

Interoperability endpoints

  • Direct secure messaging: mcorkery@ecne.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1053763557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WALNUT ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262315",
            "telephone_number": "860-423-2565",
            "fax_number": "860-423-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06107",
            "telephone_number": "860-231-8482",
            "fax_number": "860-231-8791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6509 Democracy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171639",
            "country_code": "US",
            "telephone_number": "301-897-8484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORKERY",
        "first_name": "MEGHAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MD",
            "license": "TA 2524",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CT",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.