Individual provider Active NPI

Steven Michael Chado, OD

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1154371532
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA 858 Issued in MD
Practice address
17850 Garland Groh Blvd
Hagerstown, MD 21740-1992
Phone
(301) 714-1379
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA 858 MD Primary

Addresses

Primary practice location

17850 Garland Groh Blvd
Hagerstown, MD 21740-1992

Mailing address

8210 Skipwith Dr
Frederick, MD 21702-9499
Phone (301) 695-7547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061229000397 VA Practitioner - Optometry 8628078441 Reassigns benefits to 1 organization
I20070712000251 DC Practitioner - Optometry 8628078441 Reassigns benefits to 1 organization
I20160216001517 CA Practitioner - Optometry 8628078441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Optometric Associates PCGroup PAC ID 5698873891, 5 clinicians
Family Optometric Associates of California IncGroup PAC ID 3072823426, 2 clinicians

Practice addresses (Care Compare)

1560 Mall Dr
Norfolk, VA 23511-3806
Phone (757) 440-1075

2260 Callagan Hwy
BLDG 3187a
San Diego, CA 92136-5047
Phone (619) 550-2679

8901 Wisconsin Ave
Bethesda, MD 20889-5666
Phone (240) 396-6794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA 858MDMDOptometrist
2160SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Optometric Associates P.C. Optometrist Current Accepting new patients
Family Optometric Associates of California, Inc. Optometrist CurrentSince Oct 29, 2015 Accepting new patients
Eye to Eye of Frederick Inc Optometrist PastSince Feb 7, 2011 Accepting new patients

Locations

2260 Callagan Hwy
San Diego, CA 92136
Phone (619) 544-2284

2260 Callagan Hwy
Bldg 3187B
San Diego, CA 92136
Phone (301) 695-8771

Organizations & group practices 4

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1154371532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8210 SKIPWITH DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217029499",
            "telephone_number": "301-695-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 GARLAND GROH BLVD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401992",
            "telephone_number": "301-714-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADO",
        "first_name": "STEVEN",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.