Individual provider Active NPI

Megan McDonald, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1285231597
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00700800 Issued in NJ
Practice address
180 W Girard Ave Ste 5
Philadelphia, PA 19123-1660
Phone
(215) 554-6222
NPI assigned
Oct 8, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003984 PA
Optometrist 152W00000X 27OA00700800 NJ Primary

Addresses

Primary practice location

180 W Girard Ave Ste 5
Philadelphia, PA 19123-1660

Mailing address

180 W Girard Ave Ste 5
Philadelphia, PA 19123-1660
Phone (215) 554-6222

Other practice location 1

1933 Hwy 35
Wall Township, NJ 07719-3502
Phone (732) 449-5902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230522002998 PA Practitioner - Optometry 8628484078 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00700800NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
City Line Eye Care LLC Optometrist CurrentSince Mar 28, 2023 Accepting new patients
Children's Surgical Associates LTD Optometrist Past Accepting new patients

Locations

49 E City Ave
#10
Bala Cynwyd, PA 19004
Phone (610) 206-3866

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": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1285231597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W GIRARD AVE STE 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231660",
            "telephone_number": "215-554-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W GIRARD AVE STE 5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231660",
            "telephone_number": "215-554-6222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 Hwy 35",
            "address_purpose": "LOCATION",
            "city": "Wall Township",
            "state": "NJ",
            "postal_code": "077193502",
            "country_code": "US",
            "telephone_number": "732-449-5902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003984",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00700800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.