Active NPI
Christopher Allen McDowell, O.D.
- Optometrist
- Cloquet, MN
National Provider Identifier
1235188079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2974
- Practice address
- 1001 Cloquet Ave
Cloquet, MN 55720-1617 - Phone
- (612) 730-3824
- NPI assigned
- May 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2974 | MN | Primary |
Addresses
Primary practice location
1001 Cloquet Ave
Cloquet, MN 55720-1617
Mailing address
1010 22ND St
Apt 301
Cloquet, MN 55720-2876
Phone (773) 495-9669
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490P1MC | Other | MN | BCBS OF MN |
| 22-03366 | Other | MN | MEDICA VIRGINIA |
| 42567 | Other | MN | SPECTERA VIRGINIA |
| MN2974 | Other | MN | EYE MED |
| 22-03365 | Other | MN | MEDICA CLOQUET |
| B25741045969 | Other | MN | PREFERRED ONE |
| 42566 | Other | MN | SPECTERA CLOQUET |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Cloquet Ave
Cloquet, MN 55720-1617
Phone (218) 879-1558
312 Elm Ave
Moose Lake, MN 55767-7706
Phone (218) 485-8495
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2974 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moose Lake Eye Care LLC | Optometrist | Current | Accepting new patients |
| Moose Lake Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Northern Minnesota Eye Care LLC | Optometrist | Current | Accepting new patients |
| Midwest Vision Centers, Inc | Optometrist | Past | Accepting new patients |
| Midwest Vision Centers Inc | Past | Accepting new patients | |
| Northern Minnesota Eye Care LLC | Optometrist | Past | Accepting new patients |
| Derin J Van Loon OD PA | Optometrist | Past | Accepting new patients |
Locations
1001 Cloquet Ave
Cloquet, MN 55720
Phone (218) 625-1917
45 Lady Luck Dr
Ste 120
Hinckley, MN 55037
Phone (320) 384-6361
1416 S 12th Ave
Virginia, MN 55792
Phone (218) 749-1200
Organizations & group practices 7
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.
-
- Optometrist
- Moose Lake, MN
- NPI 1548580228
-
- Optometrist
- Cloquet, MN
- NPI 1992754238
-
dba Northern Minnesota Eye Care, LLC
- Optometrist
- Hinckley, MN
- NPI 1700263985
-
dba Midwest Vision Centers
- Optician
- Morris, MN
- NPI 1073682191
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235188079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 22ND ST",
"address_2": "APT 301",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557202876",
"telephone_number": "773-495-9669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CLOQUET AVE",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201617",
"telephone_number": "612-730-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDOWELL",
"first_name": "CHRISTOPHER",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "490P1MC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA VIRGINIA",
"identifier": "22-03366",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA VIRGINIA",
"identifier": "42567",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYE MED",
"identifier": "MN2974",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CLOQUET",
"identifier": "22-03365",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "B25741045969",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA CLOQUET",
"identifier": "42566",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.