Megan Elise Barbot-Smith, O.D.
Individual provider Active NPI Optometrist · Minot, ND
NPI 1295060382 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1295060382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 697 (ND)
- Practice address
- 1100 N Broadway Ste 110
Minot, ND 58703-1349 - Phone
- (701) 852-2020
- Fax
- (701) 852-7853
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shoptikal LLC
Practice addresses (Care Compare)
1100 N Broadway
Suite 110
Minot, ND 58703-1349
Phone (701) 852-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121024000154 | MN | Practitioner - Optometry | 4688823263 | |
| I20190712000865 | ND | Practitioner - Optometry | 4688823263 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 697 | ND | MD | Social Worker |
| 3277-35 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
| Vision Source Minot, PLLC | Optometrist | Current |
Accepting new patients |
| Shopko Stores Operating Co LLC | Past | Accepting new patients |
Locations
738 Kirkwood Mall
Bismarck, ND 58504
Phone (701) 258-8810
1100 N Broadway
Ste 110
Minot, ND 58703
Phone (701) 214-2248
2400 10th St SW
Ste 340
Minot, ND 58701
Phone (701) 852-6836
3415 Calumet Ave
#3
Manitowoc, WI 54220
Phone (920) 683-2244
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3294 | MN | |
| Optometrist | 152W00000X | 3277-35 | WI | |
| Optometrist | 152W00000X | 697 | ND | Yes |
Addresses
Primary practice location
1100 N Broadway Ste 110
Minot, ND 58703-1349
Mailing address
1100 N Broadway Ste 110
Minot, ND 58703-1349
Phone (701) 852-2020
Other names
- Megan Elise Barbot
Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.