Individual provider Active NPI

Kevin M Chauvette, OD

  • Optometrist
  • Merrimack, NH
National Provider Identifier
1851366876
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0550 Issued in NH
Practice address
401 Daniel Webster Hwy
Merrimack, NH 03054
Phone
(603) 424-0404
Fax
(603) 424-1147
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0550 NH Primary

Addresses

Primary practice location

401 Daniel Webster Hwy
Merrimack, NH 03054

Mailing address

401 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 424-0404

Other identifiers 1

IdentifierTypeStateIssuer
40353697MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040401000702 MA Practitioner - Optometry 1153216379 Practice locations: Haverhill, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1851366876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "03054",
            "telephone_number": "603-424-0404",
            "fax_number": "603-424-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "03054",
            "telephone_number": "603-424-0404",
            "fax_number": "603-424-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUVETTE",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40353697",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.