Individual provider Active NPI

Chris Dewayne Teichmiller, O. D.

  • Optometrist
  • Decatur, AL
National Provider Identifier
1992895874
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S718TA087 Issued in AL
Practice address
823 6TH Ave SE
Decatur, AL 35601-3021
Phone
(256) 353-1871
Fax
(256) 350-2140
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S718TA087 AL Primary

Addresses

Primary practice location

823 6TH Ave SE
Decatur, AL 35601-3021

Mailing address

823 6TH Ave SE
Decatur, AL 35601-3021
Phone (256) 353-1871

Other identifiers 1

IdentifierTypeStateIssuer
051503954MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080505000110 AL Practitioner - Optometry 6709965619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 clinicians

Practice addresses (Care Compare)

823 6TH Ave SE
Decatur, AL 35601-3021
Phone (256) 353-1871

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Jan 20, 2019 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Jan 20, 2019 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

823 6th Ave SE
Decatur, AL 35601
Phone (256) 353-1871

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992895874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021",
            "telephone_number": "256-353-1871",
            "fax_number": "256-350-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 6TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013021",
            "telephone_number": "256-353-1871",
            "fax_number": "256-350-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICHMILLER",
        "first_name": "CHRIS",
        "middle_name": "DEWAYNE",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S718TA087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051503954",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.