Individual provider Active NPI

Megan Leigh Dantini, O.D.

  • Optometrist
  • Cary, NC
National Provider Identifier
1104054964
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2187 Issued in NC
Practice address
1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706
Phone
(919) 467-9834
Fax
(919) 466-0045
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003608 IN
Optometrist 152W00000X 2187 NC Primary
Optometrist 152W00000X 0618001935 VA

Addresses

Primary practice location

1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706

Mailing address

1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8706
Phone (919) 467-9834

Other identifiers 3

IdentifierTypeStateIssuer
1104054964MedicaidVA
5914698MedicaidNC
200945210MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100729000192 NC Practitioner - Optometry 3375695679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Vision Care OD PAGroup PAC ID 3577697721, 2 clinicians

Practice addresses (Care Compare)

1100 NW Maynard Rd
Suite 120
Cary, NC 27513-8707
Phone (919) 467-9834

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Vision Care, O.D., P.a. Optometrist CurrentSince Dec 1, 2014 Accepting new patients
Cary Optometric, PA Optometrist PastSince Dec 1, 2014 Accepting new patients

Locations

1100 NW Maynard Rd
Ste 120
Cary, NC 27513
Phone (919) 467-9834

1100 NW Maynard Rd
Cary, NC 27513

Interoperability endpoints

  • Direct secure messaging: megan@caryvisioncare.eyefinitydirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1104054964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-467-9834",
            "fax_number": "919-466-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-467-9834",
            "fax_number": "919-466-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTINI",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003608",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2187",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104054964",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914698",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200945210",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.