Dr Fitzgerald & Associates, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

01818 Issued in IA

Legal business name

DR FITZGERALD & ASSOCIATES, INC

Practice address

3225 Williams Pkwy SW
Ste 1
Cedar Rapids, IA 52404-1476

Phone

(319) 366-3500

NPI assigned

Jul 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Deann Marie Fitzgerald, OPTOMETRISTNPI 1619958428

Title

Owner

Phone

(319) 366-3500

Specialties & licenses 7

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deann M Fitzgerald, O.D.

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1619958428
  Medicare reassignment NPD Authorized official
• Eyad Hussein Yehyawi, O.D.

  • Optometrist
  • Cedar Rapids, IA
  • NPI 1194837823
  Medicare reassignment NPD

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1548423866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMS PKWY SW",
            "address_2": "STE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041476",
            "telephone_number": "319-366-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMS PKWY SW",
            "address_2": "STE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041476",
            "telephone_number": "319-366-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR FITZGERALD & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-07",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "DEANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-366-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01818",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IA",
            "license": "01818",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IA",
            "license": "01818",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "IA",
            "license": "01818",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "IA",
            "license": "01818",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IA",
            "license": "01818",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "IA",
            "license": "01818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015248",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "24711",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Downey
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• Sarah Ann Doyle, ARNP
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• Optometrist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.