Individual provider Active NPI

Megan Cecilia Bertke, OD

  • Optometrist
  • West Milton, OH
National Provider Identifier
1831768548
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006967 Issued in OH
Practice address
21 N Miami St
West Milton, OH 45383-1831
Phone
(937) 698-5171
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006967 OH Primary

Addresses

Primary practice location

21 N Miami St
West Milton, OH 45383-1831

Mailing address

7733 Galley Rd
Fort Loramie, OH 45845-9741
Phone (937) 467-9525

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.westmiltonvc.com/contact

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210712001156 OH Practitioner - Optometry 1658773882 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Milton Vision Center LLCGroup PAC ID 8527467026, 3 clinicians

Practice addresses (Care Compare)

1105 S Main St
West Milton, OH 45383-1343

1105 S Miami St
West Milton, OH 45383-1218
Phone (937) 698-5171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006967OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Milton Vision Center, LLC Optometrist CurrentSince Jun 24, 2021 Accepting new patients

Locations

21 N Miami St
West Milton, OH 45383
Phone (513) 698-5171

1105 S Miami St
West Milton, OH 45383
Phone (937) 698-5171

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1831768548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7733 GALLEY RD",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459741",
            "telephone_number": "937-467-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MIAMI ST",
            "city": "WEST MILTON",
            "state": "OH",
            "postal_code": "453831831",
            "telephone_number": "937-698-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTKE",
        "first_name": "MEGAN",
        "middle_name": "CECILIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.westmiltonvc.com/contact",
            "affiliation": "N",
            "address_1": "21 N Miami St",
            "city": "West Milton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453831831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Milton, OH

Sources for this page

Verify at the official NPI Registry.