Individual provider Active NPI

Megan McCollough Matocha, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1700267572
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8655T Issued in TX
Practice address
18333 Egret Bay Blvd Ste 101
Houston, TX 77058-3200
Phone
(281) 488-5169
Fax
(281) 335-7854
NPI assigned
Jun 17, 2015
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8655T TX Primary

Addresses

Primary practice location

18333 Egret Bay Blvd Ste 101
Houston, TX 77058-3200

Mailing address

18333 Egret Bay Blvd Ste 101
Houston, TX 77058-3200
Phone (281) 488-5169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20151123000791 TX Practitioner - Optometry 1254631393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twenty20 Professional PLLCGroup PAC ID 7315351350, 2 clinicians

Practice addresses (Care Compare)

18333 Egret Bay Blvd
Suite 101
Houston, TX 77058-3200
Phone (281) 488-5169

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8655TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Winter & Associates, P.C. CurrentSince Oct 16, 2020 Accepting new patients
Twenty20 Professional PLLC Optometrist CurrentSince Oct 16, 2020 Accepting new patients

Locations

18333 Egret Bay Blvd
Ste 101
Houston, TX 77058
Phone (281) 488-5169

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1700267572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583200",
            "telephone_number": "281-488-5169",
            "fax_number": "281-335-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 EGRET BAY BLVD STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583200",
            "telephone_number": "281-488-5169",
            "fax_number": "281-335-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOCHA",
        "first_name": "MEGAN",
        "middle_name": "MCCOLLOUGH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8655T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.