Active NPI
Linda Jo Spitzer, OD
- Optometrist
- Dilworth, MN
National Provider Identifier
1386780187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0422
- Practice address
- 1675 Center Ave W
Sinkler Optical Suite C
Dilworth, MN 56529 - Phone
- (218) 236-5048
- Fax
- (218) 236-6217
- NPI assigned
- Jan 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 491 | ND | |
| Optometrist | 152W00000X | 0422 | MN | Primary |
Addresses
Primary practice location
1675 Center Ave W
Sinkler Optical Suite C
Dilworth, MN 56529
Mailing address
1675 Center Ave W
Sinkler Optical Suite C
Dilworth, MN 56529
Phone (218) 236-5048
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6C492SP | Other | MN | BLUE CROSS |
| 2213418 | Other | MEDICA | |
| 70882 | Other | ND | BLUE CROSS OF ND |
| 1014776 | Other | PREFERED ONE | |
| 6C493SP | Other | MN | BLUE CROSS |
| HP24555 | Other | HEALTH PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2333 | MN | MD | Registered Dietitian |
| 0422 | MN | MD | Optometrist |
| 491 | ND | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinkler Optical FM Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Dilworth, MN
- NPI 1295871002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386780187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 CENTER AVE W",
"address_2": "SINKLER OPTICAL SUITE C",
"city": "DILWORTH",
"state": "MN",
"postal_code": "56529",
"telephone_number": "218-236-5048",
"fax_number": "218-236-6217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 CENTER AVE W",
"address_2": "SINKLER OPTICAL SUITE C",
"city": "DILWORTH",
"state": "MN",
"postal_code": "56529",
"telephone_number": "218-236-5048",
"fax_number": "218-236-6217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPITZER",
"first_name": "LINDA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ND",
"license": "491",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "0422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "6C492SP",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2213418",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ND",
"identifier": "70882",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED ONE",
"identifier": "1014776",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "6C493SP",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP24555",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dilworth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.