Individual provider Active NPI

Meagan-Rhose Abanto, OD

  • Optometrist
  • Everett, WA
National Provider Identifier
1457027880
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61380894 Issued in WA
Practice address
10217 19TH Ave SE Ste 102
Everett, WA 98208-4266
Phone
(425) 316-9400
NPI assigned
Aug 17, 2021
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0003681 CO
Optometrist 152W00000X OD61380894 WA Primary

Addresses

Primary practice location

10217 19TH Ave SE Ste 102
Everett, WA 98208-4266

Mailing address

PO Box 467
Zuni, NM 87327-0467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240826000735 WA Practitioner - Optometry 3173062908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

301 E Pike St
Suite a
Seattle, WA 98122-3609
Phone (206) 464-0472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0003681COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Washington Professional PC Optometrist CurrentSince May 30, 2024 Accepting new patients
Olympia Vision Clinic and Contact Lens Center, PLLC Optometrist CurrentSince Aug 13, 2023 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

12310 NE 8th St
Ste 101
Bellevue, WA 98005
Phone (425) 455-0001

10217 19th Ave SE
Ste 102
Everett, WA 98208
Phone (425) 316-9400

1098 Alder Ave
Marysville, WA 98270
Phone (360) 659-6255

301 E Pike St
Ste A
Seattle, WA 98122
Phone (206) 464-0472

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, 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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1457027880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "ZUNI",
            "state": "NM",
            "postal_code": "873270467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 19TH AVE SE STE 102",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084266",
            "telephone_number": "425-316-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANTO",
        "first_name": "MEAGAN-RHOSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003681",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61380894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.