Individual provider Active NPI

Megan Michelle Delis, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1336710920
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004287A Issued in IN
Practice address
7750 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4174
Phone
(260) 459-9595
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004287A IN Primary

Addresses

Primary practice location

7750 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4174

Mailing address

7750 W Jefferson Blvd Ste 200
Fort Wayne, IN 46804-4174
Phone (260) 459-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210722001619 IN Practitioner - Optometry 9032512413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ophthalmology P CGroup PAC ID 4688611692, 10 clinicians

Practice addresses (Care Compare)

3301 Lake Ave
Fort Wayne, IN 46805-5529
Phone (260) 422-3937

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
89.8
Improvement activities
40
Cost
76.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ophthalmology P C CurrentSince Aug 1, 2021 Accepting new patients
Northeast Ophthalmology P C Optometrist CurrentSince Aug 1, 2021 Accepting new patients

Locations

7750 W Jefferson Blvd
Ste B
Fort Wayne, IN 46804
Phone (260) 459-9595

3301 Lake Ave
Fort Wayne, IN 46805
Phone (219) 422-3939

7750 W Jefferson Blvd
Ste 200
Fort Wayne, IN 46804
Phone (260) 459-9595

11277 Twin Creeks Dr
Fort Wayne, IN 46845
Phone (260) 422-3937

7750 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (219) 459-9595

Interoperability endpoints

  • Direct secure messaging: mdelis@vco.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1336710920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 W JEFFERSON BLVD STE 200",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044174",
            "telephone_number": "260-459-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIS",
        "first_name": "MEGAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004287A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.