Nathan Kenji Choquette, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ATI4564 Issued in OR

Practice address

7421 SW Bridgeport Rd Ste 200
Tigard, OR 97224-7707

Phone

(503) 598-7616

Fax

(503) 598-7617

NPI assigned

Mar 17, 2021

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 OR

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.

• Pacific Eye Group, PC

  • Optometrist
  • Bend, OR
  • NPI 1831656925
  Medicare reassignment NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1215512629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1098 NE ROMANE PL APT 5101",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066072",
            "telephone_number": "808-927-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 SW BRIDGEPORT RD STE 200",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247707",
            "telephone_number": "503-598-7616",
            "fax_number": "503-598-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOQUETTE",
        "first_name": "NATHAN",
        "middle_name": "KENJI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Elizabeth Chiu, PHARMD
• Victoria Evon Chocolate
• Sabeen Chohan, MD
• Choi Dental Group LLC
• Mijin Choi, DMD
• Leo Choti
• Tin Chou, PHARMD
• Allison Christ, PT, DPT
• Tracy Christ, M.A.
• Alexis Christensen, LPC

• Optometrist in Tigard, OR
• Providers in Tigard, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.