Individual provider Active NPI

Meagan Jarrell Embrey, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1154680866
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2282 Issued in NC
Practice address
7615 Colony Rd
105
Charlotte, NC 28226-5017
Phone
(704) 543-9000
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2282 NC Primary

Addresses

Primary practice location

7615 Colony Rd
105
Charlotte, NC 28226-5017

Mailing address

7615 Colony Rd
105
Charlotte, NC 28226-5017
Phone (704) 543-9000

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
I20131004000303 NC Practitioner - Optometry 7113151176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Wichnoski, O.D. , P.aGroup PAC ID 1052490257, 8 clinicians

Practice addresses (Care Compare)

7615 Colony Rd
Suite 105
Charlotte, NC 28226-5018
Phone (704) 543-9000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2282NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David Wichnoski OD PA Optometrist PastSince Aug 23, 2018 Accepting new patients
David Wichnoksi OD PA Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meagan.edwards@direct.revolutionehr.com

Organizations & group practices 3

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1154680866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD",
            "address_2": "105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265017",
            "telephone_number": "704-543-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 COLONY RD",
            "address_2": "105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265017",
            "telephone_number": "704-543-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBREY",
        "first_name": "MEAGAN",
        "middle_name": "JARRELL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.