Individual provider Active NPI

David W Cheatham, OD

  • Optometrist
  • West Point, MS
National Provider Identifier
1467423210
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
656 Issued in MS
Practice address
227 Commerce St
West Point, MS 39773-2921
Phone
(662) 495-5984
Fax
(662) 494-3805
NPI assigned
Jan 30, 2006
Last updated
Jul 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 656 MS Primary

Addresses

Primary practice location

227 Commerce St
West Point, MS 39773-2921

Mailing address

227 Commerce St
West Point, MS 39773-2921
Phone (662) 495-5984

Other identifiers 1

IdentifierTypeStateIssuer
00880152MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070831000368 MS Practitioner - Optometry 4688767973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Cheatham Eye Care LLCGroup PAC ID 1153536628, 2 clinicians

Practice addresses (Care Compare)

529 Commerce St
West Point, MS 39773-7543
Phone (662) 494-5984

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
656MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cheatham Eyecare LLC CurrentSince Oct 1, 2001 Accepting new patients

Locations

529 Commerce St
West Point, MS 39773
Phone (662) 494-5984

Interoperability endpoints

  • Direct secure messaging: drcheatham@cheathamemr.eyefinity-direct.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, 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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1467423210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 COMMERCE ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732921",
            "telephone_number": "662-495-5984",
            "fax_number": "662-494-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 COMMERCE ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732921",
            "telephone_number": "662-495-5984",
            "fax_number": "662-494-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATHAM",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880152",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, MS

Sources for this page

Verify at the official NPI Registry.