Individual provider Active NPI

Chad Nathaniel Tiede, O.D.

  • Optometrist
  • Chambersburg, PA
National Provider Identifier
1730284050
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001727 Issued in PA
Practice address
825 Fifth Avenue
Suite 102
Chambersburg, PA 17201
Phone
(717) 262-9700
Fax
(717) 262-9714
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001727 PA Primary

Addresses

Primary practice location

825 Fifth Avenue
Suite 102
Chambersburg, PA 17201

Mailing address

825 Fifth Avenue
Suite 102
Chambersburg, PA 17201-4214
Phone (717) 262-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100108000022 PA Practitioner - Optometry 3870634116 Reassigns benefits to 1 organization
I20120117000538 MD Practitioner - Optometry 3870634116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision 2020Group PAC ID 9638503600, 6 clinicians
Gettysburg Ophthalmology Associates PCGroup PAC ID 6507840865, 3 clinicians

Practice addresses (Care Compare)

12818 Shank Farm Way
Suite G
Hagerstown, MD 21742-2951
Phone (301) 797-3030

455 S Washington St
Gettysburg, PA 17325-2516
Phone (717) 334-9159

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.78 of 100Reported as group
Quality
94.99
Promoting interoperability
100
Improvement activities
40
Cost
74.29

Merit-based Incentive Payment System (MIPS)

Final score
99.57 of 100Reported as group
Quality
98.91
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vision 2020 Optometrist CurrentSince Jun 13, 2025 Accepting new patients

Locations

12818 Shank Farm Way
Ste G
Hagerstown, MD 21742
Phone (301) 797-3030

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1730284050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 FIFTH AVENUE",
            "address_2": "SUITE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014214",
            "telephone_number": "717-262-9700",
            "fax_number": "717-262-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 FIFTH AVENUE",
            "address_2": "SUITE 102",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-262-9700",
            "fax_number": "717-262-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEDE",
        "first_name": "CHAD",
        "middle_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.