Nicholas S Chamberlain, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

M727 Issued in MT

Practice address

580 N Meridian Rd
Kalispell, MT 59901-3074

Phone

(406) 755-5910

Fax

(406) 756-5701

NPI assigned

Jan 12, 2007

Last updated

Jul 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MT

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Vision Clinic PLLCGroup PAC ID 2769474436, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Clinic PLLC

  • Optometrist
  • Kalispell, MT
  • NPI 1528240454
  Medicare reassignment Care Compare group NPD
• Precision Physical Therapy & Sports Rehab PC

  • Physical Therapy Clinic/Center
  • Kalispell, MT
  • NPI 1619217098
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1356492946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-755-5910",
            "fax_number": "406-756-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 N MERIDIAN RD",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-755-5910",
            "fax_number": "406-756-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "NICHOLAS",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "M727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0482545",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Cattron, PHARMD
• Joshua Natan Caya, D.C.
• Cayuse Prairie School District #10
• Robin H Celkupa, PHD, MSSW
• Taylor Chadwick, DPT
• Tyler Ka-Hei Chan, D.C.
• Autumn Rishel Chapman, DDS
• Heidi C Chapnick, D.C.
• Charles S Charman, MD
• Savita K. Chaudhry, MD

• Optometrist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.

Verify at the official NPI Registry.