MEDICARE: MEGAN OVERBERG OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.007058	OH
2	152W00000X	Optometrist	2792	NC

General Provider Information

NPI Number	:	1396489308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN OVERBERG OD

Provider Business Mailing Address
First Line	:	7838 STATE ROUTE 138
Second Line	:
City	:	HILLSBORO
State	:	OH
Zip	:	45133-8019
Country	:	US
Telephone Number	:	937-509-5460
Fax Number	:

Provider Business Practice Location Address
First Line	:	4350 MAIN ST
Second Line	:
City	:	HARRISBURG
State	:	NC
Zip	:	28075-7433
Country	:	US
Telephone Number	:	704-322-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2022
Last Update Date	:	03/27/2024

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Directions to “ MEGAN OVERBERG OD” Practice Location

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