Chad R Slagle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010715 Issued in IL

Practice address

575 S Perryville Rd
Rockford, IL 61108-2530

Phone

(815) 315-9358

Fax

(815) 397-4684

NPI assigned

Jul 22, 2013

Sex

Male

Sole proprietor

No

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 WI

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shoptikal LLC

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment Care Compare group NPD
• Shah Vision Consultants Inc

  • Optometrist
  • Rockford, IL
  • NPI 1003119694

  WI

  Medicare reassignment
• Shoptikal LLC

  • Eyewear Supplier
  • Rockford, IL
  • NPI 1467311142

  Optometrist

  NPD
• Shoptikal LLC

  • Eyewear Supplier
  • Onalaska, WI
  • NPI 1942866066

  Optometrist

  NPD
• Shopko Stores Operating Co LLC

  • Community/Retail Pharmacy
  • Eau Claire, WI
  • NPI 1720034176
  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Waunakee, WI
  • NPI 1407515000

  Optometrist

  NPD (past)
• Shoptikal LLC

  • Eyewear Supplier
  • Beloit, WI
  • NPI 1700442175

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412467200000",
    "number": "1093157992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 OAK KNLS S",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081731",
            "telephone_number": "815-505-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082530",
            "telephone_number": "815-315-9358",
            "fax_number": "815-397-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGLE",
        "first_name": "CHAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2014-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saseelan Sivagnanam, BDS
• Stacy Skirvin
• Amy Skorniak, PHARM. D
• Jan Pawel Skowronski, M.D.
• Lara Skrzypczynski, RN,RCS
• Sharon Slartman
• Laura Corinne Slavicek, PA-C
• Wendy Slick, APN
• Julianna Sliger, LPC,NCC
• Karen Lynn Slinde-Lueth, COTA

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2014; 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.