Scott Allen Chenore, O.D.

Individual provider Active NPI Corneal and Contact Management Optometrist · Greeley, CO

NPI 1902808231 · NPPES record last updated Apr 24, 2008

Key facts

NPI
1902808231
Entity type
Individual (NPI type 1)
Primary specialty
Corneal and Contact Management Optometrist 152WC0802X
License
1433 (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
Sex
Male
Sole proprietor
No

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20031217000485 CO Practitioner - Optometry 1456258482 Practice locations: Greeley, CO

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1433COMDClinical Social Worker

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
08014334MedicaidCO

Other providers in Greeley, CO

All providers in Greeley, CO · Corneal and Contact Management Optometrist in Colorado

Sources for this page

Verify at the official NPI Registry.