Individual provider Active NPI

Brandon Glen Stalzer, O.D.

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1215925227
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02290 Issued in IA
Practice address
2629 Northgate Dr
Iowa City, IA 52245-9565
Phone
(319) 338-3623
NPI assigned
Oct 12, 2005
Last updated
Mar 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02290 IA Primary

Addresses

Primary practice location

2629 Northgate Dr
Iowa City, IA 52245-9565

Mailing address

2629 Northgate Dr
Iowa City, IA 52245-9565
Phone (319) 338-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20040928000721 IA Practitioner - Optometry 6204805120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons of Iowa City PLCGroup PAC ID 8022462985, 4 clinicians

Practice addresses (Care Compare)

2629 Northgate Dr
Iowa City, IA 52245-9565
Phone (319) 338-3623

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as group
Quality
95.96
Improvement activities
40
Cost
78.55

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
Eye Physicians and Surgeons of Iowa City PLC CurrentSince Nov 5, 2023 Accepting new patients
Eye Physicians and Surgeons L L P CurrentSince Nov 17, 2021 Accepting new patients
Eye Physicians and Surgeons L L P CurrentSince Nov 17, 2021 Accepting new patients

Locations

2629 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3623

Interoperability endpoints

  • Direct secure messaging: brandon.stalzerod.p1@direct.eps.nextgenshare.com

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

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1215925227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565",
            "telephone_number": "319-338-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459565",
            "telephone_number": "319-338-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALZER",
        "first_name": "BRANDON",
        "middle_name": "GLEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.