Megan Louise Thistle, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3507-35 Issued in WI

Practice address

878 W Airport Rd
Menasha, WI 54952-1461

Phone

(920) 806-3005

Fax

(920) 806-3004

NPI assigned

Apr 3, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Pacific Medical College, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Eye Consultants S. C.Group PAC ID 4183159528, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mthistle@wisconsineye.emadirect.md

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.

• Wisconsin Eye Consultants S. C.

  • Ophthalmology Physician
  • Menasha, WI
  • NPI 1366203259

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1659734911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 W AIRPORT RD",
            "city": "MENASHA",
            "state": "WI",
            "postal_code": "549521461",
            "telephone_number": "920-806-3005",
            "fax_number": "920-806-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THISTLE",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3507-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Tayo Clinic, Inc.
• Thedacare Regional Medical Center - Neenah, Inc.
• Thedacare, Incorporated
• Thiel Optimal, LLC
• Teresa M Thiel
• Jessel Thomas
• Jessica Thompson, LPC-IT
• Kelly Timmers
• Rebecca Timmins
• Richard Raymond Toellner, O.D.

• Optometrist in Menasha, WI
• Providers in Menasha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.

Verify at the official NPI Registry.