Individual provider Active NPI

Chad Christopher Moreschi, O.D.

  • Optometrist
  • Columbiana, OH
National Provider Identifier
1881663607
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH 4770 Issued in OH
Practice address
147 S Main St
Columbiana, OH 44408-1349
Phone
(330) 482-2424
Fax
(330) 482-2989
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 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 OH 4770 OH Primary

Addresses

Primary practice location

147 S Main St
Columbiana, OH 44408-1349

Mailing address

147 S Main St
P.O. Box 67
Columbiana, OH 44408-1349
Phone (330) 482-2424

Other identifiers 1

IdentifierTypeStateIssuer
2008419MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100929000242 OH Practitioner - Optometry 2769508688 Receives reassigned benefits from 1 practitioner
Practice locations: Columbiana, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

147 S Main St
Columbiana, OH 44408-1349
Phone (330) 482-2424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH 4770OHMDOptometrist

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1881663607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "address_2": "P.O. BOX 67",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081349",
            "telephone_number": "330-482-2424",
            "fax_number": "330-482-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444081349",
            "telephone_number": "330-482-2424",
            "fax_number": "330-482-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORESCHI",
        "first_name": "CHAD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH 4770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008419",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbiana, OH

Sources for this page

Verify at the official NPI Registry.