Provider Demographics
NPI:1386686095
Name:MEGARD, JAY STEVEN (OD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:STEVEN
Last Name:MEGARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1414 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2337
Mailing Address - Country:US
Mailing Address - Phone:303-932-7235
Mailing Address - Fax:303-932-7235
Practice Address - Street 1:820 S MONACO PKWY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3703
Practice Address - Country:US
Practice Address - Phone:303-576-6655
Practice Address - Fax:303-576-8131
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1485152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist