Megan Colletta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT Issued in CA

Practice address

40820 Winchester Rd
Temecula, CA 92591-5525

Phone

(951) 296-0328

Fax

(951) 296-0342

NPI assigned

Feb 20, 2018

Last updated

Apr 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Paul James Wilson, O.D.

  • Optometrist
  • Temecula, CA
  • NPI 1013247246
  Medicare reassignment

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1699275164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40820 WINCHESTER RD STE 1360",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915533",
            "telephone_number": "951-296-0328",
            "fax_number": "951-296-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40820 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915525",
            "telephone_number": "951-296-0328",
            "fax_number": "951-296-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTA",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33878TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Coleman, NONE
• Tameka Coleman
• Taylor Coleman
• Willie Coleman III
• Aillen Collado
• Erin Kimberly Collier
• Emily Clare Collins, CCC-SLP
• Shawn Collins, DPT
• Kathleen Collyer, SLP
• Christi Colon

• Optometrist in Temecula, CA
• Providers in Temecula, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.