Active NPI
Chelsea Locy-Fowler, O.D.
- Optometrist
- Ashtabula, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT. 6477.
- Practice address
- 3705 State Rd
Ashtabula, OH 44004-5957 - Phone
- (440) 997-2020
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT. 6477. | OH | Primary |
| Optometrist | 152W00000X | OEG003218 | PA |
Addresses
Primary practice location
3705 State Rd
Ashtabula, OH 44004-5957
Mailing address
3224 Ninety Rd
Ashtabula, OH 44004-9606
Phone (440) 474-3106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2203 W 38TH St
Erie, PA 16506-4501
Phone (814) 838-2020
33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6477 | OH | MD | Psychologist |
| OPT. 6477. | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
Locations
3705 State Rd
Ste 103
Ashtabula, OH 44004
Phone (440) 997-2020
3705 State Rd
Ashtabula, OH 44004
Phone (440) 997-0014
33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020
2203 W 38th St
Erie, PA 16506
Phone (814) 838-2020
2240 E 38th St
Erie, PA 16510
Phone (814) 824-3937
1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1265881643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 NINETY RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440049606",
"telephone_number": "440-474-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3705 STATE RD",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440045957",
"telephone_number": "440-997-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCY-FOWLER",
"first_name": "CHELSEA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-07",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT. 6477.",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG003218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.