Individual provider Active NPI

Allan D Wortz, OD

  • Optometrist
  • Hutchison, MN
National Provider Identifier
1598745671
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2456 Issued in MN
Practice address
1455 Montreal St SE
Hutchison, MN 55350-0699
Phone
(320) 587-6308
Fax
(866) 203-6862
NPI assigned
Jan 17, 2006
Last updated
Mar 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2456 MN Primary

Addresses

Primary practice location

1455 Montreal St SE
Hutchison, MN 55350-0699

Mailing address

1455 Montreal St SE
PO Box 699
Hutchinson, MN 55350-0699
Phone (320) 587-6308

Other identifiers 1

IdentifierTypeStateIssuer
752225800MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20101020001542 MN Practitioner - Optometry 3678766714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Eye Specialists, LLCGroup PAC ID 9032010251, 13 clinicians

Practice addresses (Care Compare)

1455 Montreal St SE
Hutchinson, MN 55350-3318
Phone (320) 587-6305

Merit-based Incentive Payment System (MIPS)

Final score
76.72 of 100Reported as group
Quality
85.91
Improvement activities
40
Cost
41.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2456MNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Eye Specialists LLC Optometrist CurrentSince Jun 6, 1995 Accepting new patients
Southwest Eye Care Inc Optometrist Current Accepting new patients
Regional Eye Specialists LLC CurrentSince Jun 6, 1995 Accepting new patients

Locations

1200 Chaska Creek Way
Ste 110
Chaska, MN 55318
Phone (320) 587-6308

1455 Montreal St SE
Hutchinson, MN 55350
Phone (320) 587-6305

Interoperability endpoints

  • Direct secure messaging: allan.wortz.p1@direct.regeyecenter.nextgenshare.com
  • Direct secure messaging: awortz@sweyecaremn.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, 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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1598745671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 MONTREAL ST SE",
            "address_2": "PO BOX 699",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553500699",
            "telephone_number": "320-587-6308",
            "fax_number": "866-203-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 MONTREAL ST SE",
            "city": "HUTCHISON",
            "state": "MN",
            "postal_code": "553500699",
            "telephone_number": "320-587-6308",
            "fax_number": "866-203-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTZ",
        "first_name": "ALLAN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752225800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchison, MN

Sources for this page

Verify at the official NPI Registry.