Individual provider Active NPI

Maureen A Meyer, OD

  • Optometrist
  • Flagstaff, AZ
National Provider Identifier
1649251737
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ00800 Issued in AZ
Practice address
940 N Switzer Cyn Dr
#101
Flagstaff, AZ 86001-4852
Phone
(928) 774-7949
Fax
(928) 774-7207
NPI assigned
Nov 7, 2005
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 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 AZ00800 AZ Primary

Addresses

Primary practice location

940 N Switzer Cyn Dr
#101
Flagstaff, AZ 86001-4852

Mailing address

940 N Switzer Cyn Dr
#101
Flagstaff, AZ 86001-4852
Phone (928) 774-7949

Other identifiers 1

IdentifierTypeStateIssuer
AZ0904190OtherAZBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040515000535 AZ Practitioner - Optometry 8022007632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highline Eye Care, PLLCGroup PAC ID 5395143572, 3 clinicians

Practice addresses (Care Compare)

1600 W University Ave
Suite 105
Flagstaff, AZ 86001-3154
Phone (928) 240-9214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ00800AZMDOptometrist
800AZMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Eye Care, PLLC Optometrist CurrentSince Jun 6, 2022 Accepting new patients
Northern Arizona Optometry, PLLC Optometrist CurrentSince Jan 1, 2017 Accepting new patients

Locations

1600 W University Ave
Ste 105
Flagstaff, AZ 86001
Phone (928) 240-9214

420 N Humphreys St
Flagstaff, AZ 86001
Phone (928) 774-7949

940 N Switzer Canyon Dr
Ste 101
Flagstaff, AZ 86001
Phone (602) 774-7949

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1649251737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CYN DR",
            "address_2": "#101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-774-7949",
            "fax_number": "928-774-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N SWITZER CYN DR",
            "address_2": "#101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860014852",
            "telephone_number": "928-774-7949",
            "fax_number": "928-774-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MAUREEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ00800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0904190",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.