Individual provider Active NPI

Megan Radaz, OD

  • Optometrist
  • Grandville, MI
National Provider Identifier
1740113992
Registry record updated Jun 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005965 Issued in MI
Practice address
4575 Canal Ave SW
Grandville, MI 49418-2378
Phone
(616) 254-8783
NPI assigned
Jun 6, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005965 MI Primary

Addresses

Primary practice location

4575 Canal Ave SW
Grandville, MI 49418-2378

Mailing address

2153 W Glen CT
Norton Shores, MI 49441-4584
Phone (248) 756-0052

Other practice location 1

2201 S Getty St
Muskegon Heights, MI 49444-1207
Phone (231) 739-9315

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4901005965MIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1780704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780704000000",
    "number": "1740113992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2153 W GLEN CT",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414584",
            "telephone_number": "248-756-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 CANAL AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182378",
            "telephone_number": "616-254-8783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 S Getty St",
            "address_purpose": "LOCATION",
            "city": "Muskegon Heights",
            "state": "MI",
            "postal_code": "494441207",
            "country_code": "US",
            "telephone_number": "231-739-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADAZ",
        "first_name": "MEGAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-06",
        "last_updated": "2026-06-06",
        "certification_date": "2026-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2026; 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.