Individual provider Active NPI

Megan Morris Evans, O.D.

  • Optometrist
  • Athens, AL
National Provider Identifier
1215166152
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
SC22TA819 Issued in AL
Practice address
22097 Medical Village Drive
Athens, AL 35613
Phone
(256) 232-8240
Fax
(256) 232-9427
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X SC22TA819 AL Primary

Addresses

Primary practice location

22097 Medical Village Drive
Athens, AL 35613

Mailing address

22097 Medical Village Drive
Athens, AL 35613-2904
Phone (256) 232-8240

Other identifiers 2

IdentifierTypeStateIssuer
102I412463OtherALMEDICARE PTAN
113397MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20091014000336 AL Practitioner - Optometry 9436295904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athens Eye Clinic, PCGroup PAC ID 7719144542, 4 clinicians

Practice addresses (Care Compare)

22097 Medical Village Dr
Athens, AL 35613-2904
Phone (256) 232-8240

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC22TA819ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Eye Clinic, PC Optometrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

600 S Clinton St
Athens, AL 35611
Phone (256) 232-8240

22097 Medical Village Dr
Athens, AL 35613
Phone (256) 232-4527

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": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1215166152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22097 MEDICAL VILLAGE DRIVE",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356132904",
            "telephone_number": "256-232-8240",
            "fax_number": "256-232-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22097 MEDICAL VILLAGE DRIVE",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "35613",
            "telephone_number": "256-232-8240",
            "fax_number": "256-232-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MEGAN",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SC22TA819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "102I412463",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113397",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, AL

Sources for this page

Verify at the official NPI Registry.