Active NPI
Megan L Carroll, O.D.
- Optometrist
- Columbia, MO
National Provider Identifier
1285826701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2007023594
- Practice address
- 2300 Bernadette Dr
Columbia Mall Space 700
Columbia, MO 65203-4607 - Phone
- (573) 445-5448
- Fax
- (573) 445-5589
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2007023594 | MO | Primary |
Addresses
Primary practice location
2300 Bernadette Dr
Columbia Mall Space 700
Columbia, MO 65203-4607
Mailing address
5008 Clark LN
Apt #100
Columbia, MO 65202
Phone (573) 808-6224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007023594 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1285826701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 CLARK LN",
"address_2": "APT #100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "65202",
"telephone_number": "573-808-6224",
"fax_number": "573-445-5589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 BERNADETTE DR",
"address_2": "COLUMBIA MALL SPACE 700",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652034607",
"telephone_number": "573-445-5448",
"fax_number": "573-445-5589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "MEGAN",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2007023594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.