Individual provider Active NPI

Megan Smith Godard, O.D.

  • Optometrist
  • Bristol, CT
National Provider Identifier
1316177983
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002772 Issued in CT
Practice address
271 Farmington Ave
Bristol, CT 06010-3962
Phone
(860) 582-0702
NPI assigned
Jul 17, 2009
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 002772 CT Primary

Addresses

Primary practice location

271 Farmington Ave
Bristol, CT 06010-3962

Mailing address

271 Farmington Ave
Bristol, CT 06010-3962
Phone (860) 582-0702

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
I20190313001971 PA Practitioner - Optometry 5991841991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allentown Vision Center, PCGroup PAC ID 9032002977, 4 clinicians

Practice addresses (Care Compare)

740 W Hamilton St
Suite 110
Allentown, PA 18101-2428
Phone (610) 434-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2772CTMDMarriage & Family Therapist
002772CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Allentown Vision Center, PC Optometrist CurrentSince Dec 29, 2018 Accepting new patients
Della Porta Eyecare, LLC Optometrist CurrentSince Aug 29, 2018 Accepting new patients

Locations

271 Farmington Ave
Bristol, CT 06010
Phone (860) 582-0702

740 W Hamilton St
Ste 100
Allentown, PA 18101
Phone (610) 434-1000

939 W Hamilton St
Allentown, PA 18101
Phone (610) 434-1000

740 W Hamilton St
Ste 110
Allentown, PA 18101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20933/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1247788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1316177983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103962",
            "telephone_number": "860-582-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103962",
            "telephone_number": "860-582-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODARD",
        "first_name": "MEGAN",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-17",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.