Provider Demographics
NPI:1639484058
Name:MCCONVILLE, MEGAN (OD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MCCONVILLE
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4878
Mailing Address - Country:US
Mailing Address - Phone:610-692-8100
Mailing Address - Fax:610-436-4011
Practice Address - Street 1:845 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4878
Practice Address - Country:US
Practice Address - Phone:610-692-8100
Practice Address - Fax:610-436-4011
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00627500152W00000X
PAOEG002406152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist