Active NPI
Scott P Chepulis, OD
- Optometrist
- Woodbury, MN
National Provider Identifier
1891716742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2910
- Practice address
- 1785 Radio Dr Ste B
Woodbury, MN 55125-5400 - Phone
- (651) 501-0920
- Fax
- (651) 501-0921
- NPI assigned
- Jul 23, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2910 | MN | Primary |
Addresses
Primary practice location
1785 Radio Dr Ste B
Woodbury, MN 55125-5400
Mailing address
705 Kingfisher LN Apt C
Woodbury, MN 55125-1850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Western Ave
Suite D5
Fairbault, MN 55021-4503
Phone (507) 334-7941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks Inc | Past | Accepting new patients | |
| Vision World Inc | Past | Accepting new patients | |
| Chepulis Family Eye Care, Inc. | Optometrist | Past | Accepting new patients |
| Vision World Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Optometrist
- Oak Park Heights, MN
- NPI 1760555767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891716742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 KINGFISHER LN APT C",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 RADIO DR STE B",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551255400",
"telephone_number": "651-501-0920",
"fax_number": "651-501-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEPULIS",
"first_name": "SCOTT",
"middle_name": "P",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "2910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.