Healthcare Provider Details

I. General information

NPI: 1154422798
Provider Name (Legal Business Name): MEGAN H. ANASCO O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24480 MAIN ST STE 110
NEWHALL CA
91321-2873
US

IV. Provider business mailing address

24480 MAIN ST STE 110
SANTA CLARITA CA
91321-2873
US

V. Phone/Fax

Practice location:
  • Phone: 661-505-7133
  • Fax: 661-200-3707
Mailing address:
  • Phone: 661-505-7133
  • Fax: 661-200-9707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11066T
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: