Individual provider Active NPI

Chet Alan Schlatter, O.D.

  • Optometrist
  • Ottumwa, IA
National Provider Identifier
1760790430
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002492 Issued in IA
Practice address
1940 Venture Dr
Ottumwa, IA 52501-3766
Phone
(641) 683-6111
Fax
(641) 628-2031
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 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 002492 IA Primary

Addresses

Primary practice location

1940 Venture Dr
Ottumwa, IA 52501-3766

Mailing address

518 Franklin St
Pella, IA 50219-1636
Phone (641) 628-2023

Other identifiers 1

IdentifierTypeStateIssuer
002492OtherIASTATE LICENSE

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
I20101028000410 IA Practitioner - Optometry 1355535915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Child and Family Eyecare PCGroup PAC ID 8527132406, 3 clinicians

Practice addresses (Care Compare)

1940 Venture Dr
Ottumwa, IA 52501-3766
Phone (641) 683-6111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002492IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Eyecare, P.C. Optometrist CurrentSince Sep 25, 2010 Accepting new patients

Locations

2203 A Ave W
Oskaloosa, IA 52577
Phone (641) 673-3839

1940 Venture Dr
Ottumwa, IA 52501
Phone (641) 682-1715

518 Franklin St
Pella, IA 50219
Phone (641) 230-7015

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1760790430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 FRANKLIN ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191636",
            "telephone_number": "641-628-2023",
            "fax_number": "641-628-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 VENTURE DR",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013766",
            "telephone_number": "641-683-6111",
            "fax_number": "641-628-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLATTER",
        "first_name": "CHET",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "002492",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.