Chadron Vision Center, Inc.
A Medicare group practice based in Pine Ridge, SD: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 8123073574), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8123073574
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NE, SD
- Enrollments
- 2
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050317001024 | NE | Part B Supplier - Clinic/Group Practice | 1245226984 |
| O20070705000033 | SD | Part B Supplier - Clinic/Group Practice | 1134142243 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Chadron Vision Center, Inc.
- Optometrist
- Chadron, NE
- NPI 1245226984
-
Winckler Vision Center, Inc.
- Optometrist
- Pine Ridge, SD
- NPI 1134142243
-
Chadron Vision Center, Inc.
- Optometrist
- Gordon, NE
- NPI 1972533354
Practice locations
- Gordon, NE1
- Chadron, NE1
- Pine Ridge, SD1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Timothy Lee Chancellor, OD
- Optometrist
- Chadron, NE
- NPI 1417916321
-
Bradley C Marcy
- Optometrist
- Gordon, NE
- NPI 1336581503
-
Mark R Winckler, OD
- Optometrist
- Pine Ridge, SD
- NPI 1538268388
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.