Meghan R. Kelleman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2967 Issued in CT

Practice address

221 Addison Rd.
Suite 105
Glastonbry, CT 06033-5608

Phone

(860) 838-3838

Fax

(860) 838-3840

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Meghan Renee Graveline Former name

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oculusdocs LLC 2 clinicians

Connecticut Eye Physicians PC 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.57 of 100Reported as group

Quality

83.37

Improvement activities

40

Cost

74.08

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: m.kelleman@cteyephysicians.direct.eyemdemr.com

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.

• Oculusdocs, LLC

  • Optometrist
  • Glastonbury, CT
  • NPI 1407490055

  CT, Optometrist

  Medicare reassignment Care Compare group NPD
• Connecticut Eye Physicians P.C.

  • Ophthalmology Physician
  • Middletown, CT
  • NPI 1235205303

  CT

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1407229503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD.",
            "address_2": "SUITE 105",
            "city": "GLASTONBRY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 ADDISON RD.",
            "address_2": "SUITE 105",
            "city": "GLASTONBRY",
            "state": "CT",
            "postal_code": "060335608",
            "telephone_number": "860-838-3838",
            "fax_number": "860-838-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "295 E Center St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060405211",
            "country_code": "US",
            "telephone_number": "860-646-4083",
            "fax_number": "860-647-1733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEMAN",
        "first_name": "MEGHAN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8067585",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107229503",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "GRAVELINE",
            "middle_name": "RENEE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.