Individual provider Active NPI

Andrea Meagher, OD

  • Optometrist
  • El Cajon, CA
National Provider Identifier
1689390833
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35330 Issued in CA
Practice address
2907 Jamacha Rd Ste a
El Cajon, CA 92019-4342
Phone
(619) 660-0272
Fax
(619) 660-0310
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35330 CA Primary

Addresses

Primary practice location

2907 Jamacha Rd Ste a
El Cajon, CA 92019-4342

Mailing address

2907 Jamacha Rd Ste a
El Cajon, CA 92019-4342
Phone (619) 660-0272

Other practice location 1

1741 Eastlake Pkwy Ste 101
Chula Vista, CA 91915-2032
Phone (619) 421-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6196600310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221107000943 CA Practitioner - Optometry 1759758659 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael a Kling OD IncGroup PAC ID 7719921691, 3 clinicians

Practice addresses (Care Compare)

3434 4TH Ave
San Diego, CA 92103-4911
Phone (619) 222-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35330CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Oct 6, 2022 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Oct 6, 2022 Accepting new patients
Michael a. Kling OD, Inc Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Michelle King OD Inc a Professional Corporation Optometrist CurrentSince Oct 6, 2022 Accepting new patients
Keddington & Kalra Optometrists Apc Optometrist CurrentSince Oct 6, 2022 Accepting new patients

Locations

1741 Eastlake Pkwy
Ste 101
Chula Vista, CA 91915
Phone (619) 421-6600

2907 Jamacha Rd
#A
El Cajon, CA 92019
Phone (619) 660-0272

1481 E Plaza Blvd
National City, CA 91950
Phone (619) 477-2159

14757 Pomerado Rd
Poway, CA 92064
Phone (858) 842-3006

3434 4th Ave
San Diego, CA 92103
Phone (619) 222-2020

687 Sweetwater Rd
Spring Valley, CA 91977
Phone (619) 466-9444

Organizations & group practices 5

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1689390833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 JAMACHA RD STE A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194342",
            "telephone_number": "619-660-0272",
            "fax_number": "619-660-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 JAMACHA RD STE A",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194342",
            "telephone_number": "619-660-0272",
            "fax_number": "619-660-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Eastlake Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919152032",
            "country_code": "US",
            "telephone_number": "619-421-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAGHER",
        "first_name": "ANDREA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6196600310",
            "affiliation": "N",
            "endpointDescription": "fax number",
            "address_1": "2907 Jamacha Rd Ste A",
            "city": "El Cajon",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920194342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.