Claire Cordoba, OD

Key facts

NPI

1831769124

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

18004280A (IN)

Practice address

1200 John Q Hammons Dr Ste 100
Madison, WI 53717-1967

Phone

(608) 827-7705

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

No

Organizations & group practices 2

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.

• Anderson & Shapiro Eye Surgeons, SC Ophthalmology Physician · Madison, WI · NPI 1699757302
  Medicare reassignment Care Compare group NPD WI
• Indiana University Optometrist · Indianapolis, IN · NPI 1497799787
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson and Shapiro Eye Surgeons, SC (3 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.8 of 100 (group)

Quality

100

Improvement activities

40

Cost

42.66

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccordoba@be2020.intellechartdirect.net

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2023.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1831769124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN Q HAMMONS DR STE 100",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171967",
            "telephone_number": "608-827-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOBA",
        "first_name": "CLAIRE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004280A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

• Kevin Nelson Cordeiro, MD
• Sarah S Corden, MD
• Lindsay Noel Corder, MSN, APNP, AGPCNP-BC
• Blue-Leaf A Cordes, M.D.
• Timothy J Cordes, M.D.
• Timothy M Cordon, BS, ADN
• Connie Sue Corliss
• Robert F Corliss, MD
• Alisa Cornelius
• Kimberly E Cornelius, APNP

All providers in Madison, WI · Optometrist in Wisconsin