Individual provider Active NPI

Scott Allen Chenore, O.D.

  • Corneal and Contact Management Optometrist
  • Greeley, CO
National Provider Identifier
1902808231
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1433 Issued in CO
Practice address
5290 W 9TH Street Dr
Ste 300
Greeley, CO 80634-4458
Phone
(970) 353-5560
Fax
(970) 304-6809
NPI assigned
May 31, 2005
Last updated
Apr 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1433 CO Primary

Addresses

Primary practice location

5290 W 9TH Street Dr
Ste 300
Greeley, CO 80634-4458

Mailing address

5290 W 9TH Street Dr
Ste 300
Greeley, CO 80634-4458
Phone (970) 353-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20031217000485 CO Practitioner - Optometry 1456258482 Practice locations: Greeley, CO

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5290 W 9TH St Dr
Suite 300
Greeley, CO 80634-4458
Phone (970) 339-8363

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1433COMDProfessional Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1902808231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 W 9TH STREET DR",
            "address_2": "STE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344458",
            "telephone_number": "970-353-5560",
            "fax_number": "970-304-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 W 9TH STREET DR",
            "address_2": "STE 300",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344458",
            "telephone_number": "970-353-5560",
            "fax_number": "970-304-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENORE",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.