Individual provider Active NPI

Megan Buliano Smith, O.D.

  • Optometrist
  • Chester, PA
National Provider Identifier
1598739567
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001626 Issued in PA
Practice address
30 Medical Center Blvd Ste 104
Chester, PA 19013-3955
Phone
(610) 874-5261
Fax
(610) 874-0318
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001626 PA Primary

Addresses

Primary practice location

30 Medical Center Blvd Ste 104
Chester, PA 19013-3955

Mailing address

30 Medical Center Blvd Ste 104
Chester, PA 19013-3955
Phone (610) 874-5261

Other identifiers 1

IdentifierTypeStateIssuer
1011889240001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050104000247 PA Practitioner - Optometry 7517915820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Surgical Associates IncGroup PAC ID 7214907054, 5 clinicians

Practice addresses (Care Compare)

30 Medical Ctr Blvd
Suite 104
Chester, PA 19013-3955
Phone (610) 874-5261

Merit-based Incentive Payment System (MIPS)

Final score
69.51 of 100Reported as group
Quality
45.76
Improvement activities
40
Cost
70.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Surgical Associates Inc Optometrist CurrentSince Nov 30, 2004 Accepting new patients

Locations

30 Medical Center Blvd
Ste 104
Chester, PA 19013
Phone (610) 619-8590

300 Evergreen Dr
Ste 100
Glen Mills, PA 19342

2 W Baltimore Ave
Media, PA 19063
Phone (484) 227-0900

Interoperability endpoints

  • Direct secure messaging: megan.buliano.p1@direct.ophthalmicsurgical.nextgenshare.com

Organizations & group practices 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1598739567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 104",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MEDICAL CENTER BLVD STE 104",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133955",
            "telephone_number": "610-874-5261",
            "fax_number": "610-874-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULIANO SMITH",
        "first_name": "MEGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011889240001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

Verify at the official NPI Registry.