Individual provider Active NPI

Megan Wright

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1750013181
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35367 Issued in CA
Practice address
30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527
Phone
(949) 364-4004
NPI assigned
Jun 24, 2022
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35367 CA Primary
Optometrist 152W00000X 1139 NV

Addresses

Primary practice location

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527

Mailing address

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527
Phone (949) 364-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220825000993 NV Practitioner - Optometry 4082098025 Reassigns benefits to 2 organizations
I20240918004902 CA Practitioner - Optometry 4082098025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1139NVMDOccupational Therapy Assistant
35367CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD PC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Avani Patel Optometric Corporation Optometrist CurrentSince Aug 23, 2024 Accepting new patients

Locations

4983 N Blackstone Ave
Fresno, CA 93726
Phone (510) 731-7873

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 529-3145

230 N Nellis Blvd
Ste B
Las Vegas, NV 89110
Phone (702) 360-8070

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

Organizations & group practices 5

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": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1750013181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MEGAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35367",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1139",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.