Chester J. McCormick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

878 Issued in NE

Practice address

331 N Cherry St
Valentine, NE 69201-1880

Phone

(402) 376-2005

NPI assigned

Jun 30, 2005

Last updated

Aug 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1275530677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N CHERRY ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011880",
            "telephone_number": "402-376-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N CHERRY ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011880",
            "telephone_number": "402-376-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHESTER",
        "middle_name": "J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410011039",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47069616600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Markus
• Michael Mawby
• Crystal Mayhew
• Sara Jo Mayhew, RN
• Nicole McCarthy, PTA
• Lois Ellen McLeod
• Jared L Michalson, M.D.
• Minnechaduza Medical Clinic P.C.
• Carolyn Moore
• Michele Nicole Mulligan-Witt, MD

• Optometrist in Valentine, NE
• Providers in Valentine, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.