Individual provider Active NPI

Meagan Tipton, OD

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1487176509
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5358 Issued in FL
Practice address
6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone
(850) 476-9236
Fax
(850) 476-9818
NPI assigned
Jul 11, 2017
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2517 NC
Optometrist 152W00000X 3397 TN
Optometrist 152W00000X 5358 FL Primary

Addresses

Primary practice location

6190 N Davis Hwy
Pensacola, FL 32504-6969

Mailing address

6190 N Davis Hwy
Pensacola, FL 32504-6969
Phone (850) 476-9236

Other practice location 1

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407
Phone (850) 476-9236

Other practice location 2

4427 Highway 90
Pace, FL 32571-2066
Phone (850) 476-9236

Other names 1

  • Meagan Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20211130000239 FL Practitioner - Optometry 7315298098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight of Northwest Florida, PAGroup PAC ID 1254314669, 8 clinicians

Practice addresses (Care Compare)

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563-3407
Phone (850) 934-1954

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3397TNMDMental Health Counselor
5358FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Eye Associates LLC Optometrist Current Accepting new patients
Center for Sight of Northwest Florida PA CurrentSince Oct 18, 2021 Accepting new patients

Locations

3577 Gulf Breeze Pkwy
Gulf Breeze, FL 32563
Phone (850) 476-9236

4427 Highway 90
Pace, FL 32571
Phone (850) 994-0039

6190 N Davis Hwy
Pensacola, FL 32504
Phone (850) 476-9236

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Interoperability endpoints

  • Direct secure messaging: mtipton@esp.intellechartdirect.net

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1487176509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-476-9236",
            "fax_number": "850-476-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6190 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046969",
            "telephone_number": "850-476-9236",
            "fax_number": "850-476-9818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3577 Gulf Breeze Pkwy",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325633407",
            "country_code": "US",
            "telephone_number": "850-476-9236",
            "fax_number": "850-476-9818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4427 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325712066",
            "country_code": "US",
            "telephone_number": "850-476-9236",
            "fax_number": "850-664-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "MEAGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2517",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3397",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "WILLIAMS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.