Individual provider Active NPI

Megan E Lind, O.D.

  • Optometrist
  • Wauwatosa, WI
National Provider Identifier
1326153065
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3057-035 Issued in WI
Practice address
6412 W North Ave
Wauwatosa, WI 53213-2015
Phone
(414) 774-2020
Fax
(414) 774-0530
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3057-035 WI Primary

Addresses

Primary practice location

6412 W North Ave
Wauwatosa, WI 53213-2015

Mailing address

6412 W North Ave
Wauwatosa, WI 53213-2015
Phone (414) 774-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20070321000082 WI Practitioner - Optometry 4486757994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6412 W N Ave
Wauwatosa, WI 53213-2015
Phone (414) 774-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3057-035WIMDOptometrist
30570WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Center of Wauwatosa, Inc Optometrist CurrentSince Jun 18, 2016 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist Current Accepting new patients
O & Z Eye Care LLC Optometrist CurrentSince May 20, 2016 Accepting new patients
Milwaukee Eye Care Associates S.C. Optometrist CurrentSince Feb 4, 2009 Accepting new patients

Locations

17280 W North Ave
Ste 100
Brookfield, WI 53045
Phone (414) 271-2020

1684 N Prospect Ave
Milwaukee, WI 53202
Phone (414) 271-2020

Organizations & group practices 4

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1326153065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6412 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-774-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6412 W NORTH AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132015",
            "telephone_number": "414-774-2020",
            "fax_number": "414-774-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIND",
        "first_name": "MEGAN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3057-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.