Chad R Gallatin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003817 Issued in MI

Practice address

10105 Veterans Memorial Drive
Whitmore Lake, MI 48189-9767

Phone

(810) 231-5800

Fax

(810) 231-6422

NPI assigned

Nov 5, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Ferris State College - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Livingston Eyecare Associates, LLCGroup PAC ID 3476766767, 2 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Livingston Eyecare Associates, LLC

  • Corneal and Contact Management Optometrist
  • Hamburg, MI
  • NPI 1154436335
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1396925533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 767",
            "city": "HAMBURG",
            "state": "MI",
            "postal_code": "481390767",
            "telephone_number": "810-231-5800",
            "fax_number": "810-231-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10105 VETERANS MEMORIAL DRIVE",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899767",
            "telephone_number": "810-231-5800",
            "fax_number": "810-231-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLATIN",
        "first_name": "CHAD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003817",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901003817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Fanslau, LMSW
• David Farzalo
• Reilly Elizabeth Foster
• Caitlin Ann French, M.A,, CCC-SLP
• Peggy Lee Friscia, P.A.
• Melissa Lynn Glaze
• Christina Gold
• Kimberly Gorecki, LPC
• Mari Marta Graham-Monarch, LMSW
• Emily Christine Grammel, PHARM.D.

• Optometrist in Whitmore Lake, MI
• Providers in Whitmore Lake, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.