Active NPI
Chad Krezelok, O.D.
- Optometrist
- Bozeman, MT
National Provider Identifier
1285799650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 782
- Practice address
- 1500 N 7TH Ave
Bozeman, MT 59715-2557 - Phone
- (406) 585-8153
- NPI assigned
- Dec 26, 2006
- 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 | 782 | MT | Primary |
Addresses
Primary practice location
1500 N 7TH Ave
Bozeman, MT 59715-2557
Mailing address
17 E Story St Apt 1
Bozeman, MT 59715-4881
Phone (307) 752-7118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, TX
- 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
- Pacific University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 128
Fort Washakie, WY 82514-0128
Phone (307) 332-7300
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 782 | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Professionals - Mountain Eyewear | Optometrist | Current | Accepting new patients |
| Eastern Shoshone Tribe | Optometrist | Current | Accepting new patients |
| Wind River Family & Community Healthc Care | Current | Accepting new patients | |
| Christopher L Paris M D P C | Past | Accepting new patients |
Locations
1500 N 7th Ave
Bozeman, MT 59715
Phone (406) 585-8753
305 W Park St
Livingston, MT 59047
Phone (406) 222-0205
14 Great Plains Rd
Arapahoe, WY 82510
Organizations & group practices 4
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.
-
- Federal Public Health Clinic/Center
- Fort Washakie, WY
- NPI 1770328718
Optometrist, TX
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1285006379
TX
-
- Specialist
- Billings, MT
- NPI 1003975269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285799650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 E STORY ST APT 1",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597154881",
"telephone_number": "307-752-7118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N 7TH AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152557",
"telephone_number": "406-585-8153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREZELOK",
"first_name": "CHAD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.