Individual provider Active NPI

Chris A Bettner, OD

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1366546764
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1734 Issued in CO
Practice address
9205 N Union Blvd
Suite 110
Colorado Springs, CO 80920-7830
Phone
(719) 282-0400
Fax
(719) 282-1004
NPI assigned
Sep 7, 2006
Last updated
Nov 9, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1734 CO Primary

Addresses

Primary practice location

9205 N Union Blvd
Suite 110
Colorado Springs, CO 80920-7830

Mailing address

9205 N Union Blvd
Suite 110
Colorado Springs, CO 80920-7830
Phone (719) 574-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20051201000558 CO Practitioner - Optometry 8820018138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bettner Vision, IncGroup PAC ID 3577645050, 2 clinicians

Practice addresses (Care Compare)

9205 N Union Blvd
Suite 110
Colorado Springs, CO 80920-7840
Phone (719) 282-0400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1734COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettner Vision, Inc Optometrist CurrentSince Dec 20, 2007 Accepting new patients
Ridgeline Eyecare Associates Optometrist PastSince Mar 18, 2012 Accepting new patients

Locations

9205 N Union Blvd
Ste 110
Colorado Springs, CO 80920
Phone (719) 282-0400

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, 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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1366546764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 N UNION BLVD",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207830",
            "telephone_number": "719-574-5064",
            "fax_number": "719-282-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 N UNION BLVD",
            "address_2": "SUITE 110",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207830",
            "telephone_number": "719-282-0400",
            "fax_number": "719-282-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTNER",
        "first_name": "CHRIS",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.