Individual provider Active NPI

Christopher A Hedquist, O.D.

  • Optometrist
  • Sioux City, IA
National Provider Identifier
1043361843
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02254 Issued in IA
Practice address
523 4TH St
Sioux City, IA 51101-1601
Phone
(712) 224-3937
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 618 SD
Optometrist 152W00000X 1210 NE
Vision Therapy Optometrist 152WV0400X 386 NE
Optometrist 152W00000X 02254 IA Primary

Addresses

Primary practice location

523 4TH St
Sioux City, IA 51101-1601

Mailing address

523 4TH St
Sioux City, IA 51101-1601
Phone (712) 224-3937

Other identifiers 2

IdentifierTypeStateIssuer
P00120449OtherIARAILROAD MCR
36349OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130000175 IA Practitioner - Optometry 9931002573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 4TH St
Sioux City, IA 51101-1601
Phone (712) 224-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
386NEMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedquist Eye Care, LLC Optometrist CurrentSince Nov 13, 2014 Accepting new patients
Hawkeye Exact, LLC Optometrist PastSince Dec 24, 2012 Accepting new patients

Locations

523 4th St
Sioux City, IA 51101
Phone (712) 224-3937

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1043361843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011601",
            "telephone_number": "712-224-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011601",
            "telephone_number": "712-224-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDQUIST",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "618",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1210",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "386",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P00120449",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36349",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.