Active NPI
Chizek Family Eyecare Inc
Doing business as Bettendorf Eyecare Center
- Optometrist
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- CHIZEK FAMILY EYECARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Aaron Michael Chizek, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BC36386 | Other | IA | BLUE CROSS |
Other names 1
- Bettendorf Eyecare Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Advanced Eyecare
- Optometrist
- Eldridge, IA
- NPI 1154818847
O20060213000758
National Provider Directory
National Provider Directory- Tax ID family
- Chizek Family Eyecare PC
- 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.
-
- Optometrist
- Bettendorf, IA
- NPI 1992764450
-
- Optometrist
- Bettendorf, IA
- NPI 1902399298
-
- Optometrist
- Bettendorf, IA
- NPI 1801859228
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.