Individual provider Active NPI

Megan Louise Lark, OD

  • Optometrist
  • Alma, MI
National Provider Identifier
1235791401
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005382 Issued in MI
Practice address
1321 Pine Ave
Alma, MI 48801-1242
Phone
(989) 463-1139
NPI assigned
Jul 8, 2019
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4901005382 MI Primary

Addresses

Primary practice location

1321 Pine Ave
Alma, MI 48801-1242

Mailing address

1321 Pine Ave
Alma, MI 48801-1242
Phone (989) 463-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191104002010 MI Practitioner - Optometry 4183956519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Seals Tacia and Bartz OD PCGroup PAC ID 5294854105, 12 clinicians

Practice addresses (Care Compare)

1321 Pine Ave
Alma, MI 48801-1242
Phone (989) 463-1139

Merit-based Incentive Payment System (MIPS)

Final score
71.23 of 100Reported as group
Quality
43.82
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seals Tacia & Bartz OD PC Optometrist CurrentSince Oct 8, 2019 Accepting new patients
Seals Tacia & Bartz OD PC Optometrist CurrentSince Oct 8, 2019 Accepting new patients
Seals Tacia & Bartz OD PC Optometrist Current Accepting new patients

Locations

1321 Pine Ave
Alma, MI 48801
Phone (989) 463-1139

322 N State St
Alma, MI 48801
Phone (989) 331-5030

2865 S Lincoln Rd
Mt Pleasant, MI 48858
Phone (989) 773-7747

211 N State St
Oscoda, MI 48750
Phone (517) 739-2020

235 N Mill St
Saint Louis, MI 48880
Phone (989) 681-2684

Interoperability endpoints

  • Direct secure messaging: megan.lark@mieyedoctor.direct.eyemdemr.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1235791401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 PINE AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011242",
            "telephone_number": "989-463-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARK",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, MI

Sources for this page

Verify at the official NPI Registry.