Megan Alta Sullivan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002494 Issued in IA

Practice address

600 Ontario St
Storm Lake, IA 50588-1845

Phone

(712) 732-3233

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vision Care Associates PCGroup PAC ID 6507757457, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Care Associates PC

  • Optometrist
  • Storm Lake, IA
  • NPI 1528020773
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1174767941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ONTARIO ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881845",
            "telephone_number": "712-732-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ONTARIO ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505881845",
            "telephone_number": "712-732-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGAN",
        "middle_name": "ALTA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Rehab and Professional Therapy Associates Inc
• Storm Lake C.S.D.
• Storm Lake Cab LLC
• Storm Lake Hearing Aid Service, Inc
• Storm Lake Medical, P.C.
• Tracy Ann Thomas, PH.D.
• TKC Optical
• TKC Optical, Inc
• Trimark Physicians Group
• Trinity Regional Medical Center

• Optometrist in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.