Individual provider Active NPI

Megan M Tweed, OD

  • Optometrist
  • Geneva, IL
National Provider Identifier
1467628180
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009432 Issued in IL
Practice address
1749 S Randall Rd Ste F
Geneva, IL 60134-4616
Phone
(630) 845-9110
Fax
(630) 845-9118
NPI assigned
May 2, 2008
Last updated
May 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009432 IL Primary

Addresses

Primary practice location

1749 S Randall Rd Ste F
Geneva, IL 60134-4616

Mailing address

1749 S Randall Rd Ste F
Geneva, IL 60134-4616
Phone (630) 845-9110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20081205000722 IL Practitioner - Optometry 3971664178 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046009432ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Viking Eyecare LLC Optometrist CurrentSince Sep 26, 2008 Accepting new patients
Myeyedr Optometry of Illinois, LLC Optometrist Past Accepting new patients

Locations

1749 S Randall Rd
Ste F
Geneva, IL 60134
Phone (630) 845-9110

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": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1467628180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 S RANDALL RD STE F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344616",
            "telephone_number": "630-845-9110",
            "fax_number": "630-845-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 S RANDALL RD STE F",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344616",
            "telephone_number": "630-845-9110",
            "fax_number": "630-845-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEED",
        "first_name": "MEGAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.