Individual provider Active NPI

Andrew James Ochiltree, O.D.

  • Optometrist
  • Casper, WY
National Provider Identifier
1457544199
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
314T Issued in WY
Practice address
1328 E 12TH St
Casper, WY 82601-3912
Phone
(307) 237-8713
Fax
(307) 237-5740
NPI assigned
Aug 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 314T WY Primary

Addresses

Primary practice location

1328 E 12TH St
Casper, WY 82601-3912

Mailing address

1328 E 12TH St
Casper, WY 82601-3912
Phone (307) 237-8713

Other identifiers 2

IdentifierTypeStateIssuer
410036494OtherWYRAILROAD MEDICARE
1457544199MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120127000885 AZ Practitioner - Optometry 0941395610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohave Eye Centers LTD.Group PAC ID 7911985247, 9 clinicians

Practice addresses (Care Compare)

2110 Airway Ave
Kingman, AZ 86409-3652
Phone (928) 753-2106

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as individual
Quality
76.14
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1838AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mohave Eye Centers LTD Optometrist CurrentSince Nov 21, 2011 Accepting new patients
Mohave Eye Center, LTD Optometrist CurrentSince Nov 21, 2011 Accepting new patients
Family Vision and Contact Lens Clinic, LLC Optometrist PastSince Apr 1, 2006 Accepting new patients
Stickelberger Vision Optometrist PastSince Dec 1, 2015 Accepting new patients

Locations

2000 Highway 95
Ste 210
Bullhead City, AZ 86442
Phone (702) 474-0200

3003 Highway 95
Ste 11
Bullhead City, AZ 86442
Phone (928) 763-1000

2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800

1925 Florence Ave
Kingman, AZ 86401
Phone (520) 753-2106

1680 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 320-2306

Interoperability endpoints

  • Direct secure messaging: andrew.ochiltree@direct.revolutionehr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1457544199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHILTREE",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-27",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "314T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410036494",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457544199",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.