David a Drotzmann OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2709ATI Issued in OR

Legal business name

DAVID A DROTZMANN OD PC

Doing business as

Lifetime Vision Source

Practice address

1060 W Elm Street, Suite 135
Hermiston, OR 97838-2724

Phone

(541) 567-6623

Fax

(541) 564-0277

NPI assigned

Dec 18, 2007

Last updated

Aug 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David A Drotzmann, O.D.NPI 1407848476

Title

Optometrist

Phone

(541) 567-6623

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lifetime Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 9

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.

• David A Drotzmann, OD

  • Optometrist
  • Hermiston, OR
  • NPI 1407848476
  Medicare reassignment Care Compare group NPD Authorized official
• Kollan Parker Arritt, O.D.

  • Optometrist
  • Hermiston, OR
  • NPI 1073711222
  Medicare reassignment Care Compare group NPD
• Stephanie Uggen

  • Optometrist
  • Hermiston, OR
  • NPI 1215562160
  Medicare reassignment Care Compare group NPD
• James Gibson Bradt, OD

  • Optometrist
  • Pendleton, OR
  • NPI 1609624113
  Medicare reassignment NPD
• Taylor Ann Bradt, OD

  • Optometrist
  • Pendleton, OR
  • NPI 1972352904
  Medicare reassignment NPD
• Clayton M Briscoe, O.D.

  • Optometrist
  • Pendleton, OR
  • NPI 1750437067
  NPD (past)
• Becky A. Collier, O.D.

  • Optometrist
  • Hermiston, OR
  • NPI 1073631230
  NPD (past)
• Delwin Gary Flint, O.D.

  • Optometrist
  • Hermiston, OR
  • NPI 1356460075
  NPD (past)
• Michelle M Monkman, O.D.

  • Optometrist
  • Pendleton, OR
  • NPI 1497801708
  NPD (past)

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1487838157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W ELM STREET, SUITE 135",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382724",
            "telephone_number": "541-567-6623",
            "fax_number": "541-564-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W ELM STREET, SUITE 135",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382724",
            "telephone_number": "541-567-6623",
            "fax_number": "541-564-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A DROTZMANN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "DROTZMANN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "541-567-6623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2709ATI",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295499",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Joan Cornwell, FNP-C
• County of Umatilla School District 8-R (Hermiston School District)
• John Joseph Criswell, PHARMD
• Jerry Dean Crum, M.D.
• Deepshikha Datta, MD
• Christopher Nicholas David, MD
• Maria Francisca Davila
• Maryanne Eloise Davis, CRN
• Patrick Alton Dawson, MD
• Jessica De la Cruz, CHW

• Optometrist in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.