Active NPI
Maureen A Meyer, OD
- Optometrist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- AZ00800
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0904190 | Other | AZ | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AZ00800 | AZ | MD | Optometrist |
| 800 | AZ | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Eye Care, PLLC | Optometrist | Current | Accepting new patients |
| Northern Arizona Optometry, PLLC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.