Active NPI
Walter L Choate, O.D.
- Optometrist
- Goodlettsville, TN
National Provider Identifier
1083608459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0000000716
- Practice address
- 306 Northcreek Blvd
Suite 101
Goodlettsville, TN 37072-2089 - Phone
- (615) 851-7575
- Fax
- (615) 851-8725
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0000000716 | TN | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OD0000000716 | TN | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OD0000000716 | TN | |
| Pediatric Optometrist | 152WP0200X | OD0000000716 | TN | |
| Sports Vision Optometrist | 152WS0006X | OD0000000716 | TN | |
| Occupational Vision Optometrist | 152WX0102X | OD0000000716 | TN |
Addresses
Primary practice location
306 Northcreek Blvd
Suite 101
Goodlettsville, TN 37072-2089
Mailing address
306 Northcreek Blvd
Ste.101
Goodlettsville, TN 37072-2086
Phone (615) 851-7575
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0672520001 | Other | TN | D MERC |
| 2240170 | Other | TN | UNITED HEALTHCARE TN |
| 3594847 | Medicaid | TN | |
| T-61213 | Other | TN | HEALH SPRING TN |
| 0028006 | Other | TN | BLUECROSS BLUESHIELD TN |
| 969368 | Other | TN | AETNA |
| 410040172 | Other | TN | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
306 Northcreek Blvd
Suite 101
Goodlettsville, TN 37072-2086
Phone (615) 851-7575
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 84.69
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0000000716 | TN | MD | Low Vision Rehabilitation Optometrist |
| 716 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walter L. Choate, O.D. | Optometrist | Current | Accepting new patients |
Locations
306 Northcreek Blvd
Ste 101
Goodlettsvlle, TN 37072
Phone (615) 851-7575
Interoperability endpoints
- walter.choate@uprisedirect.com
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.
-
- Optometrist
- Goodlettsville, TN
- NPI 1508004441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1083608459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 NORTHCREEK BLVD",
"address_2": "STE.101",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722086",
"telephone_number": "615-851-7575",
"fax_number": "615-851-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 NORTHCREEK BLVD",
"address_2": "SUITE 101",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370722089",
"telephone_number": "615-851-7575",
"fax_number": "615-851-8725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOATE",
"first_name": "WALTER",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "OD0000000716",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TN",
"license": "OD0000000716",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "TN",
"license": "OD0000000716",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TN",
"license": "OD0000000716",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TN",
"license": "OD0000000716",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TN",
"license": "OD0000000716",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "D MERC",
"identifier": "0672520001",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE TN",
"identifier": "2240170",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3594847",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALH SPRING TN",
"identifier": "T-61213",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD TN",
"identifier": "0028006",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "969368",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "410040172",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.