Active NPI
Chad R Kluver, OD
- Optometrist
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02304
- Practice address
- 777 Tanglefoot LN
Eye Surgeons Associates PC
Bettendorf, IA 52722-1650 - Phone
- (563) 323-2020
- Fax
- (563) 328-5694
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02304 | IA | Primary |
| Optometrist | 152W00000X | 046009707 | IL |
Addresses
Primary practice location
777 Tanglefoot LN
Eye Surgeons Associates PC
Bettendorf, IA 52722-1650
Mailing address
777 Tanglefoot LN
Eye Surgeons Associates PC
Bettendorf, IA 52722-1650
Phone (563) 323-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0443077 | Medicaid | IA | |
| 0740183 | Other | IA | IA GROUP MEDICAID |
| 977130 | Other | IL | IL GROUP MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4731 45TH St CT
Rock Island, IL 61201-7102
Phone (309) 793-2020
777 Tanglefoot LN
Bettendorf, IA 52722-1650
Phone (563) 323-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.56 of 100
- Quality
- 97.61
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 32.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046009707 | IL | MD | Optometrist |
| 02304 | IA | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons Associates PC | Optometrist | Current | Accepting new patients |
| Eye Surgeons Associates PC | Optometrist | Past | Accepting new patients |
Locations
777 Tanglefoot Ln
Bettendorf, IA 52722
Phone (319) 323-8888
422 S State St
Geneseo, IL 61254
Phone (309) 944-4608
2570 24th St
Ste 124
Rock Island, IL 61201
Phone (309) 779-3670
4731 45th Street Ct
Rock Island, IL 61201
Phone (309) 793-2020
Interoperability endpoints
- chad.kluverod.p1@direct.esaeyecare.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1982680237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"address_2": "EYE SURGEONS ASSOCIATES PC",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"address_2": "EYE SURGEONS ASSOCIATES PC",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLUVER",
"first_name": "CHAD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02304",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009707",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0443077",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICAID",
"identifier": "0740183",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL GROUP MEDICARE",
"identifier": "977130",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.