Individual provider Active NPI

Arup K Chatterjee, O.D.

  • Optometrist
  • Avon, OH
National Provider Identifier
1508830118
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4511 T1199 Issued in OH
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0987026MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000254 OH Practitioner - Optometry 8022133370 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4511 T1199OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Arup Kumar Chatterjee LLC Optometrist CurrentSince Oct 1, 2002 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.

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

Verify at the official NPI Registry.