Chad R. Dockter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2439 Issued in MN

Practice address

Target Optical
8225 Flying Cloud Drive
Eden Prairie, MN 55344

Phone

(952) 563-0247

NPI assigned

Jan 10, 2007

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 MN

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

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.

• Regional Eye Specialists LLC

  • Ophthalmology Physician
  • Chaska, MN
  • NPI 1962597096

  MN

  Medicare reassignment Care Compare group NPD
• Southwest Eye Care Inc

  • Ophthalmology Physician
  • Chaska, MN
  • NPI 1679623862

  MN, Optometrist

  Medicare reassignment NPD
• Regional Eye Specialists LLC

  • Eyewear Supplier
  • Chaska, MN
  • NPI 1619703006

  Optometrist

  Care Compare group NPD
• Atlas Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Chaska, MN
  • NPI 1275142804
  NPD (past)

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Eye Specialists, LLC 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.97 of 100Reported as group

Quality

84.94

Improvement activities

40

Cost

76.63

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1104975762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 WHITE OAK DR.",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "55318",
            "telephone_number": "952-466-3937",
            "fax_number": "952-466-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TARGET OPTICAL",
            "address_2": "8225 FLYING CLOUD DRIVE",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55344",
            "telephone_number": "952-563-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKTER",
        "first_name": "CHAD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimo Diriye
• Connie L. Dittrich, MA, LP
• Michael P Dixon, M.D.
• Filsan Abdi Djama
• Rachael Dobbs, DPT
• Luis Joan Dominguez Alpizar
• Cynthia Lou Doms
• Jessica Donaldson, D.C.
• Rebecca Donaldson
• Peter Joseph Dorsen

• All providers in Eden Prairie, MN
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; 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.