Individual provider Active NPI

Meghan Maureen Hartnett, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1720587231
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33879TLG Issued in CA
Practice address
2260 Callagan Hwy BLDG 3187-a Navy Exchange
San Diego, CA 92136-0001
Phone
(619) 550-2679
NPI assigned
Feb 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33879TLG CA Primary

Addresses

Primary practice location

2260 Callagan Hwy BLDG 3187-a Navy Exchange
San Diego, CA 92136-0001

Mailing address

2260 Callagan Hwy BLDG 3187-a Navy Exchange
San Diego, CA 92136-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33879TLGCAMDOptometrist
33879CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Keddington & Kalra Optometrists Apc Optometrist PastSince Feb 22, 2018 Accepting new patients

Organizations & group practices 1

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": "1518220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518220800000",
    "number": "1720587231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 CALLAGAN HWY BLDG 3187-A NAVY EXCHANGE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921360001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 CALLAGAN HWY BLDG 3187-A NAVY EXCHANGE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921360001",
            "telephone_number": "619-550-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTNETT",
        "first_name": "MEGHAN",
        "middle_name": "MAUREEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-10",
        "last_updated": "2018-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33879TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.