Individual provider Active NPI

Chloee Kathaleen Malcolm, OD

  • Optometrist
  • Gladwin, MI
National Provider Identifier
1548990773
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005615 Issued in MI
Practice address
202 E Cedar Ave
Gladwin, MI 48624-2261
Phone
(989) 426-8272
NPI assigned
Jun 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005615 MI Primary

Addresses

Primary practice location

202 E Cedar Ave
Gladwin, MI 48624-2261

Mailing address

202 E Cedar Ave
Gladwin, MI 48624-2261
Phone (989) 426-8272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220630002979 MI Practitioner - Optometry 8729468194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 E Cedar Ave
Gladwin, MI 48624-2261
Phone (989) 426-8272

Merit-based Incentive Payment System (MIPS)

Final score
92.13 of 100Reported as group
Quality
100
Improvement activities
40
Cost
73.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005615MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gladwin Optometric Center Inc Optometrist CurrentSince Sep 14, 2025 Accepting new patients
Chloee K. Malcolm PLLC Optometrist CurrentSince Sep 30, 2025 Accepting new patients
Bay Eye Care Center, PC PastSince Jun 1, 2022 Accepting new patients

Locations

202 E Cedar Ave
Gladwin, MI 48624
Phone (989) 422-6827

202 E Cedar Ave
Ste A
Gladwin, MI 48624

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: cmalcolm@ogemaweyeinstitute.intellechartdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1548990773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-426-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E CEDAR AVE",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486242261",
            "telephone_number": "989-426-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "CHLOEE",
        "middle_name": "KATHALEEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-11",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwin, MI

Sources for this page

Verify at the official NPI Registry.