Individual provider Active NPI

Chad M Carter, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1609189356
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7631T Issued in TX
Practice address
7125 N Beach St
Fort Worth, TX 76137-1812
Phone
(817) 232-2321
Fax
(817) 232-4933
NPI assigned
Jul 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7631T TX Primary

Addresses

Primary practice location

7125 N Beach St
Fort Worth, TX 76137-1812

Mailing address

7125 N Beach St
Fort Worth, TX 76137-1812
Phone (817) 232-2321

Other identifiers 1

IdentifierTypeStateIssuer
7613TOtherTXTEXAS OPTOMETRY BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230424001931 TX Practitioner - Optometry 6709034234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr de Grasse and Associates PAGroup PAC ID 5294787875, 4 clinicians

Practice addresses (Care Compare)

300 Mercedes St
Benbrook, TX 76126-2593
Phone (817) 249-4078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7631TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. de Grasse & Associates, P.a. Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

300 Mercedes St
Benbrook, TX 76126
Phone (817) 249-4078

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1609189356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371812",
            "telephone_number": "817-232-2321",
            "fax_number": "817-232-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371812",
            "telephone_number": "817-232-2321",
            "fax_number": "817-232-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHAD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7631T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "7613T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.