Individual provider Active NPI

Megan Riley Sullivan, OD

  • Optometrist
  • Highlands Ranch, CO
National Provider Identifier
1366069833
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9973T Issued in TX
Practice address
9225 S Broadway
Highlands Ranch, CO 80129-5651
Phone
(303) 683-4466
Fax
(303) 683-4467
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9973T TX Primary

Addresses

Primary practice location

9225 S Broadway
Highlands Ranch, CO 80129-5651

Mailing address

11862 E Fair Ave
Greenwood Village, CO 80111-5716
Phone (214) 708-3907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230906000715 CO Practitioner - Optometry 6800204728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Look Optical PCGroup PAC ID 2668451055, 10 clinicians
Eye to Eye Care, P.C.Group PAC ID 5294984092, 5 clinicians

Practice addresses (Care Compare)

3130 S Parker Rd
Aurora, CO 80014-3110
Phone (303) 752-2662

9225 S Broadway
Highlands Ranch, CO 80129-5651
Phone (303) 683-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9973TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye to Eye Care, PC Optometrist CurrentSince Jul 23, 2023 Accepting new patients

Locations

3130 S Parker Rd
Aurora, CO 80014
Phone (303) 369-6555

5790 W 44th Ave
Denver, CO 80212
Phone (303) 421-4422

9225 S Broadway
Highlands Ranch, CO 80129
Phone (303) 683-4466

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1366069833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11862 E FAIR AVE",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115716",
            "telephone_number": "214-708-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 S BROADWAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295651",
            "telephone_number": "303-683-4466",
            "fax_number": "303-683-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEGAN",
        "middle_name": "RILEY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9973T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.