Chad A Bagg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2384 Issued in OK

Practice address

1021 24TH Ave NW
Norman, OK 73069-6365

Phone

(405) 329-3937

Fax

(405) 329-3556

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Trends LLCGroup PAC ID 0042116717, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Family Vision Trends LLC

  • Optometrist
  • Norman, OK
  • NPI 1013071588
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1992756159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696365",
            "telephone_number": "405-329-3937",
            "fax_number": "405-329-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 24TH AVE NW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696365",
            "telephone_number": "405-329-3937",
            "fax_number": "405-329-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGG",
        "first_name": "CHAD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "241332202",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "242334601",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMEC",
            "identifier": "5033820001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200016870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather A. Babione, OTA
• Jan Leslie Bacon, A.P.R.N.
• Shelly Renae Bacon
• Stephanie Badaroux, PA-C
• Kale David Baden, D.PH.
• Annie Torossian Baghdayan, M.ED, BCBA
• Bagwell -Cross Anesthesia Service Inc
• Saadia Baig
• Sarah Lyndsey Bailey-Price, LMT
• Alec Bailey, OD

• Optometrist in Norman, OK
• Providers in Norman, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.

Verify at the official NPI Registry.