MEDICARE: DR. MEGAN S BAUREIS O.D.

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	2599	AR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00657040	OTHER		RAILROAD MEDICARE

General Provider Information

NPI Number	:	1932368099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEGAN S BAUREIS O.D.

Provider Business Mailing Address
First Line	:	3766 N INVESTMENT DR STE 120
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-5479
Country	:	US
Telephone Number	:	479-966-4232
Fax Number	:	479-966-4251

Provider Business Practice Location Address
First Line	:	3766 N INVESTMENT DR STE 120
Second Line	:
City	:	FAYETTEVILLE
State	:	AR
Zip	:	72703-5479
Country	:	US
Telephone Number	:	479-966-4232
Fax Number	:	479-966-4251

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

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	11/24/2025

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