Jeffrey Michael Chadwick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003807 Issued in MI

Practice address

325 M-55 East
Tawas City, MI 48763

Phone

(989) 362-2754

Fax

(989) 362-6231

NPI assigned

Jul 3, 2006

Last updated

Nov 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jeffrey M Chadwick O D P C

  • Optometrist
  • Tawas City, MI
  • NPI 1942500160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1720017312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 M-55 EAST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "48763",
            "telephone_number": "989-362-2754",
            "fax_number": "989-362-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 M-55 EAST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "48763",
            "telephone_number": "989-362-2754",
            "fax_number": "989-362-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADWICK",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3473906",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily J Bromm, PTA
• Jeremy Broughton, OTRL
• Steven Lee Buchman, PHARM D
• Anne Marie Bumbalough, LPC
• Chadwell Family Chiropractic
• Nada Chami, PHARM.D.
• Angela Cheers, DO
• Michael P Chimienti Jr., PTA
• Joshua James Chrivia
• Nancy Clark

• Optometrist in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.

Verify at the official NPI Registry.