Meagan Renee Fazzio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1913-849AT Issued in LA

Practice address

7024 Siegen LN
Baton Rouge, LA 70809-4531

Phone

(225) 291-9100

NPI assigned

Oct 29, 2019

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

Enrolled in LA

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

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Eye CareGroup PAC ID 6204889660, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Louisiana Eye Care

  • Optometrist
  • Denham Springs, LA
  • NPI 1730363052
  Medicare reassignment Care Compare group NPD
• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Baton Rouge, LA
  • NPI 1831120906
  NPD (past)

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1407490998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 ALEX REINE RD",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707744428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 SIEGEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708094531",
            "telephone_number": "225-291-9100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 S Range Ave",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264810",
            "country_code": "US",
            "telephone_number": "225-664-2189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZZIO",
        "first_name": "MEAGAN",
        "middle_name": "RENEE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1913-849AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Favaro, FNP-C
• Kiara Sharel Favorite
• Mondra Rose Fazely, M.A., CCC-SLP
• Frank L. Fazio, M.D., F.A.C.S.
• Judy L Fazio, LCSW
• Fcfiv, LLC (Frey Psychology)
• Thomas Paul Feagins, LMT
• Caitlin Victoria Fears, PHARMD
• Khourtni Rose Fears
• Cherish Feaster, CSW

• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.