Chad Martin Kresnak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004439 Issued in MI

Practice address

915 W Green St
Suite 101
Hastings, MI 49058-1723

Phone

(269) 945-3866

Fax

(269) 945-9388

NPI assigned

Jul 19, 2007

Last updated

Aug 26, 2009By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Rapids Eye Care 2820 PLLCGroup PAC ID 4688794647, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: chad.kresnak.p1@direct.grophthalmology.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Rapids Eye Care 2820 PLLC

  • Optometrist
  • Grand Rapids, MI
  • NPI 1053534040
  Medicare reassignment Care Compare group
• Blue Sky Vision Eye Care, P.C

  dba Grand Rapids Ophthalmology

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202
  Medicare reassignment
• Lansing Ophthalmology, P.C.

  dba LO Eye Care

  • Ophthalmology Physician
  • East Lansing, MI
  • NPI 1962485342

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1134329097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W GREEN ST",
            "address_2": "SUITE 101",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581723",
            "telephone_number": "269-945-3866",
            "fax_number": "269-945-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W GREEN ST",
            "address_2": "SUITE 101",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581723",
            "telephone_number": "269-945-3866",
            "fax_number": "269-945-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRESNAK",
        "first_name": "CHAD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0Z81066",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0M43420003",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Kohn
• Jode Kok
• Kristyn Kostelec, LMSW
• Laura J Kota, MD
• Jennifer Jane Krauss
• Carrie Krueger
• Michael Kuik, BA
• Bernard A Kuzava, CRNA
• Tayler Lamb
• Marlis Lange, MD

• Optometrist in Hastings, MI
• Providers in Hastings, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.