Individual provider Active NPI

Savannah Mikalyn Meyer, OD

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1730927740
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
821 Issued in ND
Practice address
3177 15TH St W
Dickinson, ND 58601-6718
Phone
(701) 483-9141
NPI assigned
Jul 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 821 ND Primary

Addresses

Primary practice location

3177 15TH St W
Dickinson, ND 58601-6718

Mailing address

33 10TH St E
Dickinson, ND 58601-4032
Phone (701) 269-3863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240801004039 ND Practitioner - Optometry 1456898980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Eye CareGroup PAC ID 8325008683, 3 clinicians

Practice addresses (Care Compare)

3177 15TH St W
Dickinson, ND 58601-6718
Phone (701) 483-9141

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
821NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionary Eye Care Optometrist CurrentSince Jul 18, 2024 Accepting new patients

Locations

3177 15th St W
Dickinson, ND 58601
Phone (701) 483-9141

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, 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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1730927740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 10TH ST E",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586014032",
            "telephone_number": "701-269-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 15TH ST W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016718",
            "telephone_number": "701-483-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "SAVANNAH",
        "middle_name": "MIKALYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.