Individual provider Active NPI

Michael Meegan, OD

  • Optometrist
  • Manchester, NH
National Provider Identifier
1073280368
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1047 Issued in NH
Practice address
581 2ND St Ste M
Manchester, NH 03102-5258
Phone
(603) 668-2010
NPI assigned
Aug 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1047 NH Primary

Addresses

Primary practice location

581 2ND St Ste M
Manchester, NH 03102-5258

Mailing address

581 2ND St Ste M
Manchester, NH 03102-5258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20211019000868 NH Practitioner - Optometry 9739577032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manchester Optometric, PAGroup PAC ID 1052498839, 6 clinicians

Practice addresses (Care Compare)

779 S Main St
A
Manchester, NH 03102-5143
Phone (603) 668-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1047NHMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Manchester Optometric, PA Optometrist CurrentSince Aug 31, 2021 Accepting new patients

Locations

779 S Main St
Manchester, NH 03102
Phone (603) 668-2010

779 S Main St
#A
Manchester, NH 03102
Phone (603) 668-2010

581 2nd St
Manchester, NH 03102
Phone (603) 668-2010

581 2nd St
Ste M
Manchester, NH 03102
Phone (603) 668-2010

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1073280368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 2ND ST STE M",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 2ND ST STE M",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031025258",
            "telephone_number": "603-668-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEGAN",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.