Individual provider Active NPI

Brandon S McChesney, OD

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1184276263
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003574 Issued in PA
Practice address
4885 McKnight Rd
Pittsburgh, PA 15237-3400
Phone
(514) 428-3214
NPI assigned
Jul 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003574 PA Primary

Addresses

Primary practice location

4885 McKnight Rd
Pittsburgh, PA 15237-3400

Mailing address

211 E Broadway
Alton, IL 62002-6220
Phone (618) 462-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190824000565 PA Practitioner - Optometry 9830427145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

110 Vip Dr
Suite 301
Wexford, PA 15090-6923
Phone (724) 935-9999

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003574PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Aug 1, 2019 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 9, 2019 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist CurrentSince Jul 9, 2019 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

211 E Broadway
Alton, IL 62002
Phone (314) 787-0681

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

110 Vip Dr
Ste 301
Wexford, PA 15090
Phone (724) 935-9999

4835 Lyndon B Johnson Fwy
Ste 850
Dallas, TX 75244

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1184276263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026220",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 MCKNIGHT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373400",
            "telephone_number": "514-428-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCHESNEY",
        "first_name": "BRANDON",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.