Chris H. Iwata, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5700T Issued in CA

Practice address

595 Stanislaus St
Ste C
Angels Camp, CA 95222

Phone

(209) 736-0908

Fax

(209) 736-9352

NPI assigned

Jan 19, 2006

Last updated

Aug 19, 2008By 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 CA

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

University of California - School of Optometry, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
  • NPI 1346662970
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1851371520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220501",
            "telephone_number": "209-736-0908",
            "fax_number": "209-736-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 STANISLAUS ST",
            "address_2": "STE C",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "95222",
            "telephone_number": "209-736-0908",
            "fax_number": "209-736-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWATA",
        "first_name": "CHRIS",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5700T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "942507411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Hauer, PT, DPT
• Gabriella Rose Gomez Hawkins, PA-C
• Robert Shelby Haymond, MD
• Star Hildabrand, PA-C
• Kyrstyn Hildreth, OTR/L
• Paul Allen Jacobson, M.D.
• Priya Tara Johnston, PPS
• Laura Camille Jones, MD, MS
• Kelli Marie Karr, DPT
• Christopher James Krpan, DO

• Optometrist in Angels Camp, CA
• Providers in Angels Camp, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.