Individual provider Active NPI

Christopher J Conroy, OD

  • Optometrist
  • Ortonville, MN
National Provider Identifier
1225019771
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2679 Issued in MN
Practice address
217 3Rd Street NW
Ortonville, MN 56278
Phone
(320) 839-2608
Fax
(320) 839-2601
NPI assigned
Nov 10, 2005
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2679 MN Primary

Addresses

Primary practice location

217 3Rd Street NW
Ortonville, MN 56278

Mailing address

217 3Rd Street
NW
Ortonville, MN 56278
Phone (320) 839-2608

Other identifiers 3

IdentifierTypeStateIssuer
9203082MedicaidSD
410037854OtherMNRAILROAD MEDICARE
377725100MedicaidMN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070411000256 MN Practitioner - Optometry 5698870186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

217 3Rd St NW
Ortonville, MN 56278-1416
Phone (320) 839-2608

Merit-based Incentive Payment System (MIPS)

Final score
17.5 of 100Reported as individual
Quality
35
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Conroy Eye Care, PA Optometrist CurrentSince Jan 1, 2003 Accepting new patients
Conroy Eye Care, PA Optometrist CurrentSince Aug 15, 1998 Accepting new patients

Locations

229 N Miles St
Appleton, MN 56208
Phone (320) 289-1810

217 3rd St NW
Ortonville, MN 56278
Phone (320) 839-2608

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1225019771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 3RD STREET",
            "address_2": "NW",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "56278",
            "telephone_number": "320-839-2608",
            "fax_number": "320-839-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 3RD STREET NW",
            "city": "ORTONVILLE",
            "state": "MN",
            "postal_code": "56278",
            "telephone_number": "320-839-2608",
            "fax_number": "320-839-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9203082",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410037854",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377725100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ortonville, MN

Sources for this page

Verify at the official NPI Registry.