Megan Marie Petersen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002544 Issued in IA

Practice address

1620 Superior St Ste 3
Webster City, IA 50595-2913

Phone

(515) 832-2401

Fax

(515) 832-6393

NPI assigned

Jul 19, 2012

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Southern College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wolfe Clinic Eye Centers LCGroup PAC ID 1850285479, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mpetersen@wolfe.intellechartdirect.net

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.

• Wolfe Clinic Eye Centers LC

  • Optometrist
  • Marshalltown, IA
  • NPI 1720067424
  Medicare reassignment Care Compare group NPD
• Elite Eye Care PC

  • Optometrist
  • Waukee, IA
  • NPI 1700103850
  NPD
• Wolfe Clinic Eye Centers LC

  • Eyewear Supplier
  • Grundy Center, IA
  • NPI 1952084717

  Optometrist

  NPD
• Wolfe Clinic Inc

  • Ophthalmology Physician
  • Marshalltown, IA
  • NPI 1477532174
  NPD
• Mark Dill OD PLC

  • Optometrist
  • Ames, IA
  • NPI 1154701381
  NPD (past)
• Real Optics Inc

  dba Vogue Vision, Eyemart Optical

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1003970344
  NPD (past)
• Real Optics Inc

  dba Vogue Vision on Ingersoll

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1194935882
  NPD (past)
• Real Optics Inc

  dba Vogue Vision in Winterset

  • Eyewear Supplier
  • Winterset, IA
  • NPI 1235347774
  NPD (past)
• Real Optics Inc

  dba Eyemart Optical in Ottumwa

  • Eyewear Supplier
  • Ottumwa, IA
  • NPI 1285843037
  NPD (past)
• Real Optics Inc

  dba Vogue Vision at Leetown

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1295944130
  NPD (past)
• Real Optics Inc

  dba Vogue Vision At K-Scope

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1366659336
  NPD (past)
• Real Optics Inc

  dba Vogue Vision in Indianola

  • Eyewear Supplier
  • Indianola, IA
  • NPI 1376752121
  NPD (past)

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1821343484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103908",
            "telephone_number": "515-274-4141",
            "fax_number": "515-274-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 SUPERIOR ST STE 3",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952913",
            "telephone_number": "515-832-2401",
            "fax_number": "515-832-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylee T Ormesher, BSN, RN
• Wendy Sue Paca, RN, MSN, ARNP
• Vanessa Kim-Walker Paquette, ARNP
• Kari Linn Patten, PA-C
• Kathryn Peart, M.A., CCC-SLP
• Jody Michelle Pruismann, WHNP
• Lisa Renee Randall
• Lizabeth A Rasmussen
• Renal Center of Webster City, LLC
• Rick P. Salocker DPM, PC

• Optometrist in Webster City, IA
• Providers in Webster City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.