Individual provider Active NPI

Trae Megaffin, OD

  • Optometrist
  • Glendale, AZ
National Provider Identifier
1457278384
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002965 Issued in AZ
Practice address
7400 W Arrowhead Clubhouse Dr Apt 2087
Glendale, AZ 85308-8828
Phone
(785) 259-8728
NPI assigned
Jul 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002965 AZ Primary

Addresses

Primary practice location

7400 W Arrowhead Clubhouse Dr Apt 2087
Glendale, AZ 85308-8828

Mailing address

7400 W Arrowhead Clubhouse Dr Apt 2087
Glendale, AZ 85308-8828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1830 S Alma School Rd
Suite 131
Mesa, AZ 85210-3088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1457278384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W ARROWHEAD CLUBHOUSE DR APT 2087",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W ARROWHEAD CLUBHOUSE DR APT 2087",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088828",
            "telephone_number": "785-259-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEGAFFIN",
        "first_name": "TRAE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.