Individual provider Active NPI

Margaret Ann Coogan, O.D.

  • Optometrist
  • Kettering, OH
National Provider Identifier
1922077734
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3944 T783 Issued in OH
Practice address
2194 Hewitt Ave
Kettering, OH 45440-4242
Phone
(937) 438-1717
Fax
(937) 438-3469
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3944 T783 OH Primary

Addresses

Primary practice location

2194 Hewitt Ave
Kettering, OH 45440-4242

Mailing address

2194 Hewitt Ave
Kettering, OH 45440-4242
Phone (937) 438-1717

Other identifiers 1

IdentifierTypeStateIssuer
0672151MedicaidOH

Other names 1

  • Dr. Margaret Ann Hamilton Professional name

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
I20100917000309 OH Practitioner - Optometry 0244355972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5335 Far Hills Ave
Suite 210
Dayton, OH 45429-2317
Phone (937) 438-1717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3944 T783OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret a Hamilton OD Inc Optometrist CurrentSince Aug 18, 2010 Accepting new patients

Locations

2194 Hewitt Ave
Dayton, OH 45440
Phone (937) 438-1717

5335 Far Hills Ave
Ste 210
Kettering, OH 45429
Phone (937) 293-3680

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1922077734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 HEWITT AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404242",
            "telephone_number": "937-438-1717",
            "fax_number": "937-438-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2194 HEWITT AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404242",
            "telephone_number": "937-438-1717",
            "fax_number": "937-438-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOGAN",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3944  T783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0672151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "HAMILTON",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.