Individual provider Active NPI

Meghan L Malensky, O.D.

  • Optometrist
  • Tigard, OR
National Provider Identifier
1669667143
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3221ATI Issued in OR
Practice address
9730 SW Washington Square Rd
Tigard, OR 97223-4453
Phone
(503) 624-0666
Fax
(503) 624-0959
NPI assigned
Sep 7, 2007
Last updated
Mar 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3221ATI OR Primary

Addresses

Primary practice location

9730 SW Washington Square Rd
Tigard, OR 97223-4453

Mailing address

9730 SW Washington Square Rd
Tigard, OR 97223-4453
Phone (503) 624-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20100216000638 OR Practitioner - Optometry 4587708417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Oregon Professional LLCGroup PAC ID 5092156364, 11 clinicians
Ashley K McFerron OD PCGroup PAC ID 7810161213, 3 clinicians

Practice addresses (Care Compare)

364 N Ivy St
Canby, OR 97013-3704
Phone (503) 266-4847

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3221ORMDPsychologist
3221ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley K McFerron OD PC Optometrist CurrentSince Sep 28, 2015 Accepting new patients
Ogata Eyecare, PC Optometrist CurrentSince Mar 20, 2014 Accepting new patients
Ogata Eyecare, PC Optometrist CurrentSince Mar 20, 2014 Accepting new patients

Locations

364 N Ivy St
Canby, OR 97013
Phone (503) 266-4847

9730 SW Washington Square Rd
Tigard, OR 97223
Phone (503) 624-0666

Interoperability endpoints

  • Direct secure messaging: mmalensky@canby-eyecare.direct.kno2fy.com

Organizations & group practices 4

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": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395273600000",
    "number": "1669667143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 SW WASHINGTON SQUARE RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234453",
            "telephone_number": "503-624-0666",
            "fax_number": "503-624-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 SW WASHINGTON SQUARE RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972234453",
            "telephone_number": "503-624-0666",
            "fax_number": "503-624-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALENSKY",
        "first_name": "MEGHAN",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2014-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3221ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.