Waddingham-Urbaitis and Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2000 Issued in IA

Legal business name

WADDINGHAM-URBAITIS AND ASSOCIATES PC

Practice address

3625 Utica Ridge Road
Bettendorf, IA 52722-1646

Phone

(563) 355-4716

NPI assigned

Feb 9, 2006

Last updated

Mar 30, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah A. Waddingham, OD

Title

President

Phone

(563) 355-4716

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Charles Urbaitis, O.D.

  • Optometrist
  • Bettendorf, IA
  • NPI 1497776983
  Medicare reassignment NPD

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1013980051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221646",
            "telephone_number": "563-355-4716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 UTICA RIDGE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221646",
            "telephone_number": "563-355-4716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADDINGHAM-URBAITIS AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "WADDINGHAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-355-4716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY GROUP WUA",
            "identifier": "780925",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Earl Vickstrom, MD
• Stephanie Villa
• Amanda Lee Vincent, PHARMD
• Vituity-Iowa PLLC
• Carrie Ann Voigts, D.C.
• Julee Waibel, DNP-FNP
• Walgreen Co (Walgreens #05512)
• Walgreen Co (Walgreens #06553)
• Rose A Wallace, ARNP
• Alexandra Walsh, M.S., LMHC

• Optometrist in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.