Individual provider Active NPI

Christopher Chisholm Qualls, OD

  • Optometrist
  • Hamilton, MT
National Provider Identifier
1053897397
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4612 Issued in MT
Practice address
820 W Main St
Hamilton, MT 59840-2330
Phone
(406) 363-2020
NPI assigned
Jul 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 985 NV
Optometrist 152W00000X 4612 MT Primary

Addresses

Primary practice location

820 W Main St
Hamilton, MT 59840-2330

Mailing address

820 W Main St
Hamilton, MT 59840-2330
Phone (406) 363-2020

Other practice location 1

10583 Double R Blvd
Reno, NV 89521-8909
Phone (775) 323-4391

Other practice location 2

911 Topsy Ln Ste 236
Carson City, NV 89705-8405
Phone (775) 267-9160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230726003013 MT Practitioner - Optometry 3476804261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyer Big Sky Optical, IncGroup PAC ID 6002996501, 4 clinicians

Practice addresses (Care Compare)

820 W Main St
Hamilton, MT 59840-2330
Phone (406) 363-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4612MTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Beyer Big Sky Optical, Inc Optometrist CurrentSince Aug 1, 2023 Accepting new patients

Locations

820 W Main St
Hamilton, MT 59840
Phone (208) 360-2334

Organizations & group practices 1

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1053897397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402330",
            "telephone_number": "406-363-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 W MAIN ST",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402330",
            "telephone_number": "406-363-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10583 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218909",
            "country_code": "US",
            "telephone_number": "775-323-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Topsy Ln Ste 236",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897058405",
            "country_code": "US",
            "telephone_number": "775-267-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHISHOLM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "985",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

Verify at the official NPI Registry.