Active NPI
Allan D Wortz, OD
- Optometrist
- Hutchison, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2456
- 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, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752225800 | Medicaid | MN |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2456 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Eye Specialists LLC | Optometrist | Current | Accepting new patients |
| Southwest Eye Care Inc | Optometrist | Current | Accepting new patients |
| Regional Eye Specialists LLC | Current | 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
- allan.wortz.p1@direct.regeyecenter.nextgenshare.com
- 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.
-
- Ophthalmology Physician
- Chaska, MN
- NPI 1962597096
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.