Chizek Family Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHIZEK FAMILY EYECARE INC

Doing business as

Advanced Eyecare
Bettendorf Eyecare Center

Practice address

251 N 6TH Ave
Eldridge, IA 52748

Phone

(563) 285-4001

Fax

(563) 285-6121

NPI assigned

Apr 18, 2018

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CHIZEK FAMILY EYECARE INCAs reported in NPPES

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

Authorized official

Name

Dr. Ammie Marie Chizek, ODNPI 1801859228

Title

Owner/Optometrist

Phone

(563) 285-4001

Specialties & licenses 1

Addresses

Other names 2

• Advanced Eyecare Doing business as
• Bettendorf Eyecare Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chizek Family Eyecare Inc

  dba Bettendorf Eyecare Center

  • Optometrist
  • Bettendorf, IA
  • NPI 1316083561

  O20060213000758

  Same enrollment

Tax ID family

Chizek Family Eyecare PC2 organizations share this tax ID, including this one

Part of

Chizek Family Eyecare PC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chizek Family Eyecare Inc

  dba Bettendorf Eyecare Center

  • Optometrist
  • Bettendorf, IA
  • NPI 1316083561
  NPD tax ID

Practitioners 3

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.

• Ammie Marie Chizek, OD

  • Optometrist
  • Bettendorf, IA
  • NPI 1801859228
  Authorized official Same address or phone
• Diane Lea Papke, O.D.

  • Optometrist
  • Eldridge, IA
  • NPI 1487796017
  NPD
• Joseph Conner Peters, OD

  • Optometrist
  • Bettendorf, IA
  • NPI 1902399298
  NPD

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1154818847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N 6TH AVE",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "52748",
            "telephone_number": "563-285-4001",
            "fax_number": "563-285-6121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527223203",
            "country_code": "US",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHIZEK FAMILY EYECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIZEK FAMILY EYECARE INC",
        "enumeration_date": "2018-04-18",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "CHIZEK",
        "authorized_official_first_name": "AMMIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "563-285-4001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bettendorf Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darren C Campbell, D.C.
• Jacquellyn Jo Carter, D. C.
• Jennifer Carton, DNP, ARNP
• Conway Chin, DO
• Chiropractic Care Center, P.C.
• Linda Clark, LSW
• Clinton Back and Neck Care Center, PC (Parkview Back and Neck Care Center)
• Carla Rose Cloos, M.D.
• David J. Cole, O.D.
• Regan A Cone, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.