Individual provider Active NPI

Thomas Michael Chester Jr., O.D.

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1598778052
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4731 T1535 Issued in OH
Practice address
2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone
(216) 621-6132
Fax
(216) 621-2803
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 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 4731 T1535 OH Primary

Addresses

Primary practice location

2740 Carnegie Ave
Cleveland, OH 44115-2627

Mailing address

2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone (216) 621-6132

Other identifiers 1

IdentifierTypeStateIssuer
0386381MedicaidOH

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
I20120126000624 OH Practitioner - Optometry 7113198292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Eye Consultants, IncGroup PAC ID 3577537810, 40 clinicians

Practice addresses (Care Compare)

2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone (216) 621-6132

7001 S Edgerton Rd
Brecksville, OH 44141-4206

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
81.19
Promoting interoperability
83
Improvement activities
40
Cost
78.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4731 T1535OHMDOptometrist

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1598778052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152627",
            "telephone_number": "216-621-6132",
            "fax_number": "216-621-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152627",
            "telephone_number": "216-621-6132",
            "fax_number": "216-621-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESTER",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4731 T1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386381",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.