Individual provider Active NPI

Michael A Chatterson, OD

  • Optometrist
  • Bellevue, NE
National Provider Identifier
1659327617
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1011 Issued in NE
Practice address
1103 Galvin Rd S
Suite H
Bellevue, NE 68005-3002
Phone
(402) 292-6514
NPI assigned
May 25, 2006
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1011 NE Primary
Optometrist 152W00000X TO-3015 MO

Addresses

Primary practice location

1103 Galvin Rd S
Suite H
Bellevue, NE 68005-3002

Mailing address

1103 Galvin Rd S
Bellevue, NE 68005-3002
Phone (402) 292-6514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20060719000229 NE Practitioner - Optometry 9032122965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists PCGroup PAC ID 8224923222, 5 clinicians

Practice addresses (Care Compare)

1103 Galvin Rd S
Bellevue, NE 68005-3004
Phone (402) 292-6514

Merit-based Incentive Payment System (MIPS)

Final score
84.46 of 100Reported as group
Quality
82
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TO-3015MOMDOptometrist
1011NEMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists PC Optometrist CurrentSince Jul 17, 2006 Accepting new patients
Modern Eyecare Inc. Past Accepting new patients
Heartland Cataract & Laser Surgery Center, Inc. Past Accepting new patients

Locations

1103 Galvin Rd S
Bellevue, NE 68005
Phone (402) 292-3642

1103 Galvin Rd S
Ste H
Bellevue, NE 68005
Phone (402) 292-6514

9910 S 71st Ave
Ste 103
Papillion, NE 68133
Phone (402) 933-0708

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1659327617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053002",
            "telephone_number": "402-292-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 GALVIN RD S",
            "address_2": "SUITE H",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053002",
            "telephone_number": "402-292-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATTERSON",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1011",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO-3015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

Verify at the official NPI Registry.