Individual provider Active NPI

Chase Vincent Hunter, O.D.

  • Optometrist
  • Edmond, OK
National Provider Identifier
1457542060
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2532 Issued in OK
Practice address
775 W Covell Rd
Ste 140
Edmond, OK 73003-2300
Phone
(405) 348-3937
Fax
(405) 348-3938
NPI assigned
Aug 8, 2007
Last updated
Dec 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2532 OK Primary

Addresses

Primary practice location

775 W Covell Rd
Ste 140
Edmond, OK 73003-2300

Mailing address

775 W Covell Rd
Ste 140
Edmond, OK 73003-2300
Phone (405) 348-3937

Other identifiers 1

IdentifierTypeStateIssuer
T7L957YB2MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20081122000144 OK Practitioner - Optometry 7517027436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-del Vision Source, PLLCGroup PAC ID 3274768239, 8 clinicians

Practice addresses (Care Compare)

2008 S Post Rd
Midwest City, OK 73130-6610
Phone 4057322277110

Merit-based Incentive Payment System (MIPS)

Final score
36.31 of 100Reported as group
Quality
72.61
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2532OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-del Vision Source PLLC Optometrist CurrentSince Feb 10, 2020 Accepting new patients
Mid-del Vision Source, PLLC Optometrist Current Accepting new patients
Mid-del Vision Source PLLC Optometrist Past Accepting new patients

Locations

4650 SE 15th St
Del City, OK 73115
Phone (405) 677-8831

2008 S Post Rd
Oklahoma City, OK 73130
Phone (405) 732-2277

Interoperability endpoints

  • Direct secure messaging: hunter@middelvisionsource.eyefinity-direct.com

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, 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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1457542060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 W COVELL RD",
            "address_2": "STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032300",
            "telephone_number": "405-348-3937",
            "fax_number": "405-348-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 W COVELL RD",
            "address_2": "STE 140",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730032300",
            "telephone_number": "405-348-3937",
            "fax_number": "405-348-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "CHASE",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-08",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T7L957YB2",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.