Individual provider Active NPI

Megan Leigh Perea, OD

  • Optometrist
  • Yuma, AZ
National Provider Identifier
1447937438
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2707 Issued in AZ
Practice address
2149 W 24TH St
Yuma, AZ 85364-6136
Phone
(928) 246-9463
Fax
(928) 341-0881
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 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 2707 AZ Primary

Addresses

Primary practice location

2149 W 24TH St
Yuma, AZ 85364-6136

Mailing address

2149 W 24TH St
Yuma, AZ 85364-6136
Phone (928) 246-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230713001989 AZ Practitioner - Optometry 8426369422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond R Corona OD PCGroup PAC ID 0244216760, 9 clinicians

Practice addresses (Care Compare)

2149 W 24TH St
Yuma, AZ 85364-6136
Phone (928) 726-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2707AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond R. Corona, O.D. P.C. Optometrist CurrentSince Jun 30, 2023 Accepting new patients

Locations

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

7141 E 31st Pl
Yuma, AZ 85365
Phone (928) 246-9463

Organizations & group practices 1

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1447937438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-246-9463",
            "fax_number": "928-726-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-246-9463",
            "fax_number": "928-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.