Individual provider Active NPI

Megan Nichole Baldwin, O.D.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1063790145
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1889 Issued in KS
Practice address
2146 N Collective LN
110
Wichita, KS 67206-3573
Phone
(620) 770-1493
NPI assigned
Jul 24, 2011
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1889 KS Primary

Addresses

Primary practice location

2146 N Collective LN
110
Wichita, KS 67206-3573

Mailing address

12330 E 21St St N Ste a
Wichita, KS 67206-3596
Phone (316) 315-0321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000383 KS Practitioner - Optometry 5698938397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Gallery, LLCGroup PAC ID 1052574753, 2 clinicians

Practice addresses (Care Compare)

12330 E 21St St N
Wichita, KS 67206-3596
Phone (316) 315-0321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1889KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Connect Vision Therapy Current Accepting new patients
The Eye Gallery, LLC Optometrist CurrentSince May 10, 2017 Accepting new patients
The Eye Gallery, LLC Optometrist Past Accepting new patients
The Eye Gallery, LLC Optometrist Past Accepting new patients

Locations

12330 E 21st St N
Wichita, KS 67206
Phone (316) 315-0321

12330 E 21st St N
Ste A
Wichita, KS 67206

2146 N Collective Ln
Ste 110
Wichita, KS 67206
Phone (316) 315-0321

Organizations & group practices 4

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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1063790145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 E 21ST ST N STE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063596",
            "telephone_number": "316-315-0321",
            "fax_number": "316-315-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2146 N COLLECTIVE LN",
            "address_2": "110",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063573",
            "telephone_number": "620-770-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MEGAN",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.