Meagan J Petraitis, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2669 Issued in CO

Practice address

8400 E Prentice Ave
Suite 1200
Greenwood Village, CO 80111-2912

Phone

(303) 793-3000

Fax

(303) 793-3008

NPI assigned

Jul 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1326201781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 1200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "303-793-3000",
            "fax_number": "303-793-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E PRENTICE AVE",
            "address_2": "SUITE 1200",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112912",
            "telephone_number": "303-793-3000",
            "fax_number": "303-793-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRAITIS",
        "first_name": "MEAGAN",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "2669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Peterson, RN
• Christine Jane Peterson, NURSE PRACTITIONER
• Elizabeth Anne Peterson, O.D.
• Rylen Peterson
• Stephanie B Peterson, LPC
• Cassidy Petri, PA-S
• Jacqueline Marie Pettus, PTA
• Christine A Petty, M.D.
• Amanda Phannadeth
• Pharmaca Integrative Pharmacy, Inc.

• Corneal and Contact Management Optometrist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Corneal and Contact Management Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.