Individual provider Active NPI

Meagan Alexandra Anderson, OD

  • Optometrist
  • Omaha, NE
National Provider Identifier
1750952008
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1549 Issued in NE
Practice address
17838 Burke St Ste 100
Omaha, NE 68118-2256
Phone
(402) 558-2211
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1549 NE Primary

Addresses

Primary practice location

17838 Burke St Ste 100
Omaha, NE 68118-2256

Mailing address

17838 Burke St Ste 100
Omaha, NE 68118-2256
Phone (402) 707-5230

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVS Vision 01 LLC 3 clinicians

Practice addresses (Care Compare)

10345 Pacific St
Omaha, NE 68114-4713
Phone (833) 586-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20210803002071 NE Practitioner - Optometry 9335543065 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1549NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kugler Vision PC CurrentSince Jul 7, 2021 Accepting new patients
MVS Vision 01, LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients

Locations

17838 Burke St
Ste 100
Omaha, NE 68118
Phone (402) 558-2211

10345 Pacific St
Omaha, NE 68114
Phone (833) 586-2020

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1750952008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-707-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17838 BURKE ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182256",
            "telephone_number": "402-558-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MEAGAN",
        "middle_name": "ALEXANDRA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.