Ross Jex Chatwin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9033347-9934 Issued in UT

Practice address

1792 W 1700 S Ste 202
Syracuse, UT 84075-9651

Phone

(801) 774-8707

NPI assigned

May 21, 2014

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Optometry

Education

Southern College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• UT PPO D-SNP
• UT PPO

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

• Sugarhouse Vision Clinic

  • Optometrist
  • Salt Lake City, UT
  • NPI 1912100348
  Medicare reassignment

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1053723262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 S 900 E STE 4",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062388",
            "telephone_number": "801-484-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 W 1700 S STE 202",
            "city": "SYRACUSE",
            "state": "UT",
            "postal_code": "840759651",
            "telephone_number": "801-774-8707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATWIN",
        "first_name": "ROSS",
        "middle_name": "JEX",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9033347-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Bybee
• Preston Quinn Calcut, CMHC
• Michelle Irene Cannon, RD
• Amanda Carlson
• Fernando Cervantes Jr.
• Cheap Easy Labs LLC
• Aspen Cruze Cheney
• Nathan F Christensen
• Adam George Clarke, DDS
• Brett R Coleman, DMD MS

• Optometrist in Syracuse, UT
• Providers in Syracuse, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.