DR. MEGAN ALTA SULLIVAN (O.D.) – Optometrist, NPI 1174767941

DR. MEGAN ALTA SULLIVAN (O.D.) is a healthcare provider. based in Storm lake, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 002494 (IA). The NPI Number for DR. MEGAN ALTA SULLIVAN (O.D.) is 1174767941

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MEGAN ALTA SULLIVAN (O.D.)
NPI
1174767941
Phone
(712) 732-3233
Address
600 ONTARIO ST
Enumeration Date
23 April 2009
Last Update Date
24 March 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7127323233
Graduation Year
2009 (17 years ago)
PAC ID
7618001686
Group Practice PAC ID
6507757457
Professional Enrollment ID
I20100812000219
Address ID
IA505881845ST600XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

504 OPTOMETRY in IA

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Provider Addresses for DR. MEGAN ALTA SULLIVAN (O.D.)

  • 600, Ontario Street, Vista Estates Mobile Home Park, Storm Lake, Buena Vista County, Iowa, 50588, United States

    STORM LAKE, IA 505881845

    Phone: (712) 732-3233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $774.

Total Amount is formed as General ($774) + Research ($0) + Ownership ($0) = $774.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Alcon Vision LLC ($559).

Total Amount

$774

General + Research + Ownership

Payments

10

Total payment records

General Amount

$774

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100812000219IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system693690$0
92134Imaging of retina566497$0
99213Established patient office or other outpatient visit, 20-29 minutes343274$0
92133Imaging of optic nerve258229$0
92083Exam of visual field with extended testing210193$0
View full utilization report →

Insurance plans in this area (ZIP 50588)

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Provider's Procedures

DR. MEGAN ALTA SULLIVAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYIA92083Measurement of field of vision during daylight conditions4237
OPTOMETRYIA92134Diagnostic imaging of retina5955

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507757457View full group profile
NameSpecialtyState
-IA
-IA
O P T O M E T R YAZ
O P T O M E T R YOH

Reviews

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Frequently asked questions

What federal number belongs to DR. MEGAN ALTA SULLIVAN (O.D.)?
The federal identifier for DR. MEGAN ALTA SULLIVAN (O.D.) is NPI 1174767941.
Does this profile mean DR. MEGAN ALTA SULLIVAN (O.D.) is currently active?
Yes — DR. MEGAN ALTA SULLIVAN (O.D.) appears active in the national provider directory.
Does DR. MEGAN ALTA SULLIVAN (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. MEGAN ALTA SULLIVAN (O.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MEGAN ALTA SULLIVAN (O.D.)?
We surface Storm Lake, Iowa for DR. MEGAN ALTA SULLIVAN (O.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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