Individual provider Active NPI

Walter L Choate, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1083608459
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0000000716 Issued in TN
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

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0672520001OtherTND MERC
2240170OtherTNUNITED HEALTHCARE TN
3594847MedicaidTN
T-61213OtherTNHEALH SPRING TN
0028006OtherTNBLUECROSS BLUESHIELD TN
969368OtherTNAETNA
410040172OtherTNMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070119000311 TN Practitioner - Optometry 0143240549 Reassigns benefits to 1 organization

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 100Reported as individual
Quality
84.69
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD0000000716TNMDLow Vision Rehabilitation Optometrist
716TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walter L. Choate, O.D. Optometrist CurrentSince Aug 7, 2011 Accepting new patients

Locations

306 Northcreek Blvd
Ste 101
Goodlettsvlle, TN 37072
Phone (615) 851-7575

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.