Kristina Nicole Wittrock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA002409 Issued in IA

Practice address

6630 Mills Civic Pkwy Unit 6120
West Des Moines, IA 50266-8371

Phone

(515) 225-6447

Fax

(515) 226-2347

NPI assigned

Oct 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eckhart and Wittrock, PLCGroup PAC ID 5395894901, 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 and National Provider Directory roles.

• Eckhart & Wittrock, PLC

  • Optometrist
  • West Des Moines, IA
  • NPI 1447495379
  Medicare reassignment Care Compare group NPD Authorized official
• Valley Eye Clinic PC

  • Optometrist
  • West Des Moines, IA
  • NPI 1235304379
  NPD (past)
• Ward Vision LLC

  • Optometrist
  • West Des Moines, IA
  • NPI 1336660968
  NPD (past)
• 20 20 Family Vision Center

  • Optometrist
  • Troy, MI
  • NPI 1326398793
  NPD (past)
• Optical Fashion, Inc.

  • Corneal and Contact Management Optometrist
  • Troy, MI
  • NPI 1639166895
  NPD (past)

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1366430068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6630 MILLS CIVIC PKWY UNIT 6120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668371",
            "telephone_number": "515-225-6447",
            "fax_number": "515-226-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6630 MILLS CIVIC PKWY UNIT 6120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668371",
            "telephone_number": "515-225-6447",
            "fax_number": "515-226-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTROCK",
        "first_name": "KRISTINA",
        "middle_name": "NICOLE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA002409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PIN",
            "identifier": "KW003876",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wisdom From Wounds, LLC
• Jordyn Lee Wiser, DNP
• Andrew Michael Wishy, DO
• Lee Witt, PA-C
• Anna Wittmuss, CCC-SLP
• Wolfe Clinic Eye Surgery Management, L.L.C.
• Wolfe Surgery Center, LLC
• Colombia Esther Wolff, ARNP
• David L Wonnell, PA-C
• Megan Wood, LISW

• Optometrist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.