Healthcare Provider Details

I. General information

NPI: 1518667476
Provider Name (Legal Business Name): MEGAN CATHERINE HOULE OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 02/23/2026
Certification Date: 02/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16429 N TATUM BLVD
PHOENIX AZ
85032-3458
US

IV. Provider business mailing address

16429 N TATUM BLVD
PHOENIX AZ
85032-3458
US

V. Phone/Fax

Practice location:
  • Phone: 480-889-6044
  • Fax: 480-889-6047
Mailing address:
  • Phone: 480-889-6044
  • Fax: 480-889-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number002675
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: