Individual provider Active NPI

Chase Ratzlaff, O.D.

  • Optometrist
  • Enid, OK
National Provider Identifier
1043763436
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2906 Issued in OK
Practice address
1204 W Willow Rd Ste a
Enid, OK 73703-2531
Phone
(580) 234-2333
NPI assigned
Aug 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2906 OK Primary

Addresses

Primary practice location

1204 W Willow Rd Ste a
Enid, OK 73703-2531

Mailing address

1204 W Willow Rd Ste a
Enid, OK 73703-2531
Phone (580) 234-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20160830000793 OK Practitioner - Optometry 6800181850 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Family Eyecare Solutions, PLLCGroup PAC ID 7416342068, 2 clinicians
Enid Eye Inc.Group PAC ID 8921045360, 6 clinicians

Practice addresses (Care Compare)

1504 S Grand Ave
Cherokee, OK 73728-4529
Phone (580) 596-3573

615 E Oklahoma Ave
Suite 101
Enid, OK 73701-5952
Phone (580) 233-4711

Merit-based Incentive Payment System (MIPS)

Final score
20 of 100Reported as individual
Quality
40
Improvement activities
0

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as group
Quality
100
Improvement activities
40
Cost
38.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2906OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Family Eyecare Solutions, PLLC Optometrist CurrentSince Dec 27, 2021 Accepting new patients
Enid Eye Inc. Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Nicholas Eye Clinic, PLLC Optometrist CurrentSince Aug 8, 2016 Accepting new patients
Carl W. Newton, O D, P C Optometrist CurrentSince Oct 2, 2017 Accepting new patients
Be Thou My Vision, PC Optometrist CurrentSince Sep 6, 2018 Accepting new patients

Locations

1504 S Grand Ave
Cherokee, OK 73728
Phone (580) 596-3573

615 E Oklahoma Ave
Ste 101
Enid, OK 73701
Phone (405) 271-6060

1204 W Willow Rd
Ste A
Enid, OK 73703
Phone (580) 234-2333

111 E Broadway
Fairview, OK 73737
Phone (580) 227-4878

Organizations & group practices 5

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1043763436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 W WILLOW RD STE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032531",
            "telephone_number": "580-234-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W WILLOW RD STE A",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032531",
            "telephone_number": "580-234-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZLAFF",
        "first_name": "CHASE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.