Organization Active NPI

Wittrock & Eckhart, PLLC

Doing business as StylEyes Ames

  • Optometrist
  • Ames, IA
National Provider Identifier
1568734788
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002409 Issued in IA
Legal business name
WITTROCK & ECKHART, PLLC
Doing business as
StylEyes Ames
Practice address
301 Main St
Suite 5
Ames, IA 50010-6166
Phone
(515) 232-1436
Fax
(515) 232-1443
NPI assigned
Feb 3, 2012
Last updated
Feb 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Dr. Kristina Nicole Wittrock, O.D.NPI 1366430068
Title
Managing Member
Phone
(515) 360-5636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002409 IA Primary

Addresses

Primary practice location

301 Main St
Suite 5
Ames, IA 50010-6166

Mailing address

650 S Prairie View Dr
Suite 110
West Des Moines, IA 50266-6686
Phone (515) 225-6447

Other names 1

  • StylEyes Ames Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1568734788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S PRAIRIE VIEW DR",
            "address_2": "SUITE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666686",
            "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": "301 MAIN ST",
            "address_2": "SUITE 5",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500106166",
            "telephone_number": "515-232-1436",
            "fax_number": "515-232-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITTROCK & ECKHART, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "WITTROCK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "515-360-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StylEyes Ames",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.