Individual provider Active NPI

Christopher Blake Myers, M.D.

  • Ophthalmology Physician
  • Redding, CA
National Provider Identifier
1023088770
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G178560 Issued in CA
Practice address
3190 Churn Creek Rd
Redding, CA 96002-2122
Phone
(530) 223-2500
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29367 WV
Ophthalmology Physician 207W00000X G178560 CA Primary
Ophthalmology Physician 207W00000X 14023 SC

Addresses

Primary practice location

3190 Churn Creek Rd
Redding, CA 96002-2122

Mailing address

4045 Mount Whitney Way
Redding, CA 96002-5131
Phone (864) 380-7823

Other identifiers 4

IdentifierTypeStateIssuer
180018442OtherSCMEDICARE RAILROAD
140234MedicaidSC
1577695003OtherSCCIGNA PROVIDER NUMBER
4328801OtherSCAETNA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220705001389 CA Practitioner - Ophthalmology 8224920046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
87.3
Improvement activities
40
Cost
59.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G178560CAMDOphthalmology Physician
14023SCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Eye Medical Group Inc Ophthalmology CurrentSince Jul 20, 2022 Accepting new patients
Jervey Eye Group, PA Ophthalmology Past Accepting new patients

Locations

900 Butte St
Redding, CA 96001
Phone (530) 223-2500

2620 Larkspur Ln
Ste L
Redding, CA 96002
Phone (530) 223-4300

3190 Churn Creek Rd
Redding, CA 96002
Phone (530) 223-2500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: blakemyersmd@shastaeye.direct.eyemdemr.com
  • Direct secure messaging: christopher.myers.p9@direct.inlandeyespecialists.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1023088770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 MOUNT WHITNEY WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960025131",
            "telephone_number": "864-380-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960022122",
            "telephone_number": "530-223-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "29367",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G178560",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "14023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180018442",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140234",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "1577695003",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4328801",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.