Individual provider Active NPI

Megan Tai, OD

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1487130886
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34001TLG Issued in CA
Practice address
1190 Scott Blvd
Santa Clara, CA 95050-4562
Phone
(408) 247-2600
Fax
(408) 247-2605
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34001TLG CA Primary

Addresses

Primary practice location

1190 Scott Blvd
Santa Clara, CA 95050-4562

Mailing address

1190 Scott Blvd
Santa Clara, CA 95050-4562
Phone (408) 247-2600

Other practice location 1

644 San Antonio Rd
Mountain View, CA 94040-1304
Phone (408) 247-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181024003210 CA Practitioner - Optometry 2466705280 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Eye Physicians Medical Group,Inc.Group PAC ID 9032162292, 9 clinicians
Yura Kim OD IncGroup PAC ID 5193262970, 4 clinicians
Yk Optometry IncGroup PAC ID 6800385113, 2 clinicians

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 310
San Mateo, CA 94401-3844
Phone (650) 342-7474

1190 Scott Blvd
Suite a
Santa Clara, CA 95050-4562
Phone (408) 247-2600

644 San Antonio Rd
Mountain View, CA 94040-1304

Merit-based Incentive Payment System (MIPS)

Final score
84.94 of 100Reported as group
Quality
88.66
Promoting interoperability
94
Improvement activities
40
Cost
66.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34001TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Eye Physicians Medical Group,Inc. CurrentSince Sep 1, 2018 Accepting new patients
Yura Kim OD Inc CurrentSince Feb 11, 2026 Accepting new patients
Dodd R Portman, OD, Inc Optometrist CurrentSince Nov 8, 2025 Accepting new patients
Steven a. Neunzig, O.D., Inc. Optometrist PastSince Nov 8, 2025 Accepting new patients

Locations

101 S San Mateo Dr
Ste 310
San Mateo, CA 94401
Phone (650) 235-7522

1190 Scott Blvd
Santa Clara, CA 95050
Phone (408) 241-3510

1190 Scott Blvd
Ste A
Santa Clara, CA 95050
Phone (408) 247-2600

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1487130886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504562",
            "telephone_number": "408-247-2600",
            "fax_number": "408-247-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504562",
            "telephone_number": "408-247-2600",
            "fax_number": "408-247-2605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 San Antonio Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940401304",
            "country_code": "US",
            "telephone_number": "408-247-2600",
            "fax_number": "408-247-2605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAI",
        "first_name": "MEGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34001TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.