David Roger Britzke, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003206 Issued in IN

Practice address

830 Parkway Ave Ste E
Elkhart, IN 46516-9343

Phone

(574) 970-7444

NPI assigned

Sep 5, 2007

Last updated

Aug 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Indiana University - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Eyecare IncGroup PAC ID 5294649885, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Eyecare, Inc.

  • Optometrist
  • Elkhart, IN
  • NPI 1811950009
  Medicare reassignment Care Compare group NPD Authorized official
• Midwest Eye Consultants, PC

  dba Cataract and Laser FW - Wayne

  • Optometrist
  • Fort Wayne, IN
  • NPI 1548132715
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1164616900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 PARKWAY AVE STE E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169343",
            "telephone_number": "574-970-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PARKWAY AVE STE E",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169343",
            "telephone_number": "574-970-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITZKE",
        "first_name": "DAVID",
        "middle_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003206",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18003206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200393840A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Briesacker
• Denise Briggs, PHD, HSPP
• Steven D Bright, LCSW
• Julianna Briseno
• Bristol Street Pediatrics, P.C.
• Jaida Brock
• Broderick Chiropractic Center
• Jerald R Broderick, D.C.
• Glen H Brookshire, DO
• Renee Brookshire, CRNA

• Optometrist in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.