Individual provider Active NPI

Christopher Carter, OD

  • Optometrist
  • Muscatine, IA
National Provider Identifier
1669047304
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
108828 Issued in IA
Practice address
315 Parham St Ste B
Muscatine, IA 52761-2604
Phone
(563) 263-7577
NPI assigned
May 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 108828 IA Primary

Addresses

Primary practice location

315 Parham St Ste B
Muscatine, IA 52761-2604

Mailing address

315 Parham St Ste B
Muscatine, IA 52761-2604

Other practice location 1

114 W 4th St
Wilton, IA 52778-7747
Phone (563) 316-2007

Other practice location 2

619 5th St
Durant, IA 52747-7737
Phone (563) 321-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20210611001776 IA Practitioner - Optometry 6103226154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye CenterGroup PAC ID 2961393061, 6 clinicians

Practice addresses (Care Compare)

315 Parham St
Muscatine, IA 52761-2604
Phone (563) 263-7577

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Center Optometrist CurrentSince Jun 1, 2021 Accepting new patients

Locations

619 5th St
Durant, IA 52747
Phone (563) 785-4487

315 Parham St
Muscatine, IA 52761
Phone (319) 263-7577

315 Parham St
Ste B
Muscatine, IA 52761
Phone (563) 263-7577

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1669047304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST STE B",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PARHAM ST STE B",
            "city": "MUSCATINE",
            "state": "IA",
            "postal_code": "527612604",
            "telephone_number": "563-263-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Wilton",
            "state": "IA",
            "postal_code": "527787747",
            "country_code": "US",
            "telephone_number": "563-316-2007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 5th St",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "IA",
            "postal_code": "527477737",
            "country_code": "US",
            "telephone_number": "563-321-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "108828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscatine, IA

Sources for this page

Verify at the official NPI Registry.