Individual provider Active NPI

Megan Kirchner, O.D.

  • Optometrist
  • Pueblo, CO
National Provider Identifier
1396196739
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003223 Issued in CO
Practice address
4200 N Freeway Rd
Pueblo, CO 81008-2153
Phone
(719) 253-2538
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003223 CO Primary

Addresses

Primary practice location

4200 N Freeway Rd
Pueblo, CO 81008-2153

Mailing address

25543 E Frost PL
Aurora, CO 80016-2181

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
I20160823003031 CO Practitioner - Optometry 0244525780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14749 W 87TH Pkwy
Unit D
Arvada, CO 80005-1337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003223COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Jul 2, 2016 Accepting new patients
Sky High Vision, PLLC Optometrist CurrentSince Nov 16, 2020 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Jul 2, 2016 Accepting new patients

Locations

14749 W 87th Pkwy
Unit D
Arvada, CO 80005
Phone (720) 673-0555

4200 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Interoperability endpoints

  • Direct secure messaging: megan.kirchner@uprisedirect.com

Organizations & group practices 3

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1396196739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25543 E FROST PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N FREEWAY RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082153",
            "telephone_number": "719-253-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "MEGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.