Individual provider Active NPI

Chad Eric Klein, OD

  • Optometrist
  • Newton, IA
National Provider Identifier
1417915075
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02331 Issued in IA
Practice address
100 N 4TH Ave W
Newton, IA 50208
Phone
(641) 792-7900
Fax
(641) 792-8663
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 02331 IA Primary

Addresses

Primary practice location

100 N 4TH Ave W
Newton, IA 50208

Mailing address

100 N 4TH Ave W
Newton, IA 50208
Phone (641) 792-7900

Other identifiers 4

IdentifierTypeStateIssuer
0474965MedicaidIA
02823OtherIABCBS
19525OtherIAGROUP BCBS
0195255MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20051123000682 IA Practitioner - Optometry 0244250959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Family Eye Care PCGroup PAC ID 4789747494, 3 clinicians

Practice addresses (Care Compare)

100 N 4TH Ave W
Newton, IA 50208-3141

Merit-based Incentive Payment System (MIPS)

Final score
88.7 of 100Reported as group
Quality
77.41
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Family Eye Care, P.C. Optometrist CurrentSince Jan 1, 2009 Accepting new patients

Locations

100 N 4th Ave W
Newton, IA 50208
Phone (515) 792-7900

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

Interoperability endpoints

  • Direct secure messaging: chad.klein@direct.revolutionehr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1417915075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 4TH AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "50208",
            "telephone_number": "641-792-7900",
            "fax_number": "641-792-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 4TH AVE W",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "50208",
            "telephone_number": "641-792-7900",
            "fax_number": "641-792-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "CHAD",
        "middle_name": "ERIC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0474965",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02823",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS",
            "identifier": "19525",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195255",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, IA

Sources for this page

Verify at the official NPI Registry.