Active NPI
Megan Radaz, OD
- Optometrist
- Grandville, MI
National Provider Identifier
1740113992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005965 | MI | MD | Optometrist |
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.