Active NPI
Michelle Chaney, O.D.
- Optometrist
- Laramie, WY
National Provider Identifier
1528030988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 274T
- Practice address
- 405 S 30TH St
Laramie, WY 82070-5143 - Phone
- (307) 742-2020
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- No
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.
-
- Ophthalmology Physician
- Cheyenne, WY
- NPI 1720054802
-
- Ambulatory Surgical Clinic/Center
- Cheyenne, WY
- NPI 1326247479
-
- Optometrist
- Aurora, CO
- NPI 1407070352
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lo. Co. Vision Consultants LLC
Practice addresses (Care Compare)
180 Ken Pratt Blvd
Suite 200
Longmont, CO 80501-8974
Phone (303) 776-4309
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.23 of 100
- Quality
- 84.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090506000367 | CO | Practitioner - Optometry | 6204984941 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274T | WY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cheyenne Eye Clinic, LLC | Current | Accepting new patients | |
| Jeri a Schneebeck, OD, PC | Optometrist | Past | Accepting new patients |
| Cheyenne Ocular Surgery | Past | Accepting new patients |
Locations
1725 E Prospect Rd
Fort Collins, CO 80525
Phone (970) 221-2222
1300 E 20th St
Cheyenne, WY 82001
Phone (307) 634-2020
405 S 30th St
Laramie, WY 82070
Phone (307) 742-2020
Interoperability endpoints
- michelle.chaney.p2@direct.eyecenternoco.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 274T | WY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
405 S 30TH St
Laramie, WY 82070-5143
Mailing address
1238 Bennett Rd
Fort Collins, CO 80521-4550
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116836300 | Medicaid | WY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 15, 2009.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1528030988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 BENNETT RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805214550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S 30TH ST",
"city": "LARAMIE",
"state": "WY",
"postal_code": "820705143",
"telephone_number": "307-742-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANEY",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "274T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116836300",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; 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.