Individual provider Active NPI

Christopher Alexander Ambrose, O.D.

  • Optometrist
  • Evansville, IN
National Provider Identifier
1255998308
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004155B Issued in IN
Practice address
101 NW 1St St Ste 112
Evansville, IN 47708-1259
Phone
(812) 426-2020
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 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 18004155B IN Primary

Addresses

Primary practice location

101 NW 1St St Ste 112
Evansville, IN 47708-1259

Mailing address

101 NW 1St St Ste 104
Evansville, IN 47708-1220
Phone (812) 618-4330

Other names 1

  • Dr. Chris Alexander Ambrose Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190530001800 IN Practitioner - Optometry 5294078572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Consultants LLPGroup PAC ID 2163319864, 3 clinicians

Practice addresses (Care Compare)

101 NW 1St St
Suite 112
Evansville, IN 47708-1259
Phone (812) 426-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
99.56
Improvement activities
40
Cost
74.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004155BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Consultants LLP Optometrist CurrentSince May 25, 2019 Accepting new patients
Eyecare Consultants Surgery Center, LLC Past Accepting new patients
Norman D. Radtke, MD, PSC PastSince May 25, 2019 Accepting new patients

Locations

101 NW 1st St
Evansville, IN 47708
Phone (812) 426-2020

101 NW 1st St
Ste 104
Evansville, IN 47708
Phone (812) 426-2020

101 NW 1st St
Ste 112
Evansville, IN 47708
Phone (800) 643-8197

Interoperability endpoints

  • Direct secure messaging: cambrose@eccs.updoxdirect.com

Organizations & group practices 3

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": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1255998308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 104",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081220",
            "telephone_number": "812-618-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 1ST ST STE 112",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081259",
            "telephone_number": "812-426-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBROSE",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004155B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "AMBROSE",
            "middle_name": "ALEXANDER",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.