Active NPI
Arup K Chatterjee, O.D.
- Optometrist
- Avon, OH
National Provider Identifier
1508830118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4511 T1199
- Practice address
- 35920 Detroit Rd
Avon, OH 44011-1653 - Phone
- (440) 324-9779
- Fax
- (440) 324-4847
- NPI assigned
- Feb 13, 2006
- Last updated
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4511 T1199 | OH | Primary |
Addresses
Primary practice location
35920 Detroit Rd
Avon, OH 44011-1653
Mailing address
35920 Detroit Rd
Avon, OH 44011-1653
Phone (440) 324-9779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0987026 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
35920 Detroit Rd
Avon, OH 44011-1653
Phone (440) 324-9779
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 26 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4511 T1199 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Arup Kumar Chatterjee LLC | Optometrist | Current | Accepting new patients |
Locations
35920 Detroit Rd
Avon, OH 44011
Phone (440) 324-4833
3547 Midway Mall
Elyria, OH 44035
Phone (440) 324-4833
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.
-
- Optometrist
- Avon, OH
- NPI 1407035439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1508830118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35920 DETROIT RD",
"city": "AVON",
"state": "OH",
"postal_code": "440111653",
"telephone_number": "440-324-9779",
"fax_number": "440-325-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35920 DETROIT RD",
"city": "AVON",
"state": "OH",
"postal_code": "440111653",
"telephone_number": "440-324-9779",
"fax_number": "440-324-4847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHATTERJEE",
"first_name": "ARUP",
"middle_name": "K",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4511 T1199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0987026",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.