Individual provider Active NPI

Krista Chopra, O.D.

  • Optometrist
  • Marietta, OH
National Provider Identifier
1457695397
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6430 Issued in OH
Practice address
621 Virginia St Apt 17
Marietta, OH 45750-2893
Phone
(765) 749-9822
NPI assigned
Nov 15, 2012
Last updated
May 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003764A IN
Optometrist 152W00000X 6430 OH Primary

Addresses

Primary practice location

621 Virginia St Apt 17
Marietta, OH 45750-2893

Mailing address

621 Virginia St Apt 17
Marietta, OH 45750-2893
Phone (765) 749-9822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210504001834 IN Practitioner - Optometry 2365746641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2101 Burlington Beach Rd
Valparaiso, IN 46383-1665
Phone (219) 462-0309

Merit-based Incentive Payment System (MIPS)

Final score
71.74 of 100Reported as group
Quality
96.85
Improvement activities
40
Cost
10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003764AINMDOptometrist
6430OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Indiana Eye Associates, PC Optometrist CurrentSince May 1, 2021 Accepting new patients
Northwest Indiana Eye Associates, PC Optometrist CurrentSince May 1, 2021 Accepting new patients
Northwest Indiana Eye Associates, PC Optometrist Past Accepting new patients
Ronald W Downing OD Optometrist PastSince Feb 25, 2016 Accepting new patients

Locations

297 W Franciscan Dr
Ste 101
Crown Point, IN 46307
Phone (219) 662-0999

2101 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 462-0309

Interoperability endpoints

  • Direct secure messaging: kchopra@ltfeyeclinics.direct.eyemdemr.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": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1457695397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 VIRGINIA ST APT 17",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502893",
            "telephone_number": "765-749-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 VIRGINIA ST APT 17",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502893",
            "telephone_number": "765-749-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "KRISTA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003764A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.