Individual provider Active NPI

Megan E Webb, OD

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1912596073
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5891 Issued in FL
Practice address
30715 US Highway 19 N
Palm Harbor, FL 34684-4400
Phone
(727) 785-8645
NPI assigned
Jan 13, 2021
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 OPC5891 FL Primary

Addresses

Primary practice location

30715 US Highway 19 N
Palm Harbor, FL 34684-4400

Mailing address

30715 US Highway 19 N
Palm Harbor, FL 34684-4400

Other practice location 1

2143 Tyrone Blvd N
Saint Petersburg, FL 33710-4023
Phone (727) 345-3360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210115001875 FL Practitioner - Optometry 9537572300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2001 E Fowler Ave
Tampa, FL 33612-5500
Phone (813) 972-5728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5891FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Eyecare, LLC Optometrist CurrentSince Nov 1, 2022 Accepting new patients
Cape Coral Eye Center, P.a. Optometrist Past Accepting new patients

Locations

2143 Tyrone Blvd N
St Petersburg, FL 33710
Phone (727) 345-3360

2001 E Fowler Ave
Tampa, FL 33612
Phone (813) 972-3465

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, 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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1912596073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30715 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30715 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844400",
            "telephone_number": "727-785-8645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2143 Tyrone Blvd N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337104023",
            "country_code": "US",
            "telephone_number": "727-345-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.