Organization Active NPI

Chizek Family Eyecare Inc

Doing business as Bettendorf Eyecare Center

  • Optometrist
  • Bettendorf, IA
National Provider Identifier
1316083561
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHIZEK FAMILY EYECARE INC
Doing business as
Bettendorf Eyecare Center
Practice address
1875 Middle Rd
Bettendorf, IA 52722-3203
Phone
(563) 359-4446
Fax
(563) 359-0381
NPI assigned
Jan 29, 2007
Last updated
Nov 17, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CHIZEK FAMILY EYECARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Dr. Aaron Michael Chizek, ODNPI 1992764450
Title
Owner
Phone
(563) 359-4446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1875 Middle Rd
Bettendorf, IA 52722-3203

Mailing address

1875 Middle Road
Bettendorf, IA 52722
Phone (563) 359-4446

Other identifiers 1

IdentifierTypeStateIssuer
BC36386OtherIABLUE CROSS

Other names 1

  • Bettendorf Eyecare Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000758 IA Part B Supplier - Clinic/Group Practice 6709891740 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Bettendorf, IA; Eldridge, IA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1316083561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MIDDLE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "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": "1875 MIDDLE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223203",
            "telephone_number": "563-359-4446",
            "fax_number": "563-359-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIZEK FAMILY EYECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIZEK FAMILY EYECARE INC",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "CHIZEK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-359-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BC36386",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bettendorf Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bettendorf Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

  • 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.