Active NPI
Dr David a Lotz, Optometrist, PC
- Optometrist
- Suffolk, VA
National Provider Identifier
1578734661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000298
- Legal business name
- DR DAVID A LOTZ, OPTOMETRIST, PC
- Practice address
- 1238 Holland Rd
Suite 103
Suffolk, VA 23434-6300 - Phone
- (757) 539-8716
- NPI assigned
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David A Lotz, O.D.
- Title
- President
- Phone
- (757) 539-8716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000298 | VA | Primary |
Addresses
Primary practice location
1238 Holland Rd
Suite 103
Suffolk, VA 23434-6300
Mailing address
1238 Holland Rd
Suite 103
Suffolk, VA 23434-6300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9230271 | Medicaid | VA | |
| 1629003496 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider Directory- Tax ID family
- David a Lotz Optometrist PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Suffolk, VA
- NPI 1649412834
Locations
1238 Holland Rd
Ste 103
Suffolk, VA 23434
Phone (757) 539-8716
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Suffolk, VA
- NPI 1629003496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1578734661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 HOLLAND RD",
"address_2": "SUITE 103",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 HOLLAND RD",
"address_2": "SUITE 103",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234346300",
"telephone_number": "757-539-8716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR DAVID A LOTZ, OPTOMETRIST, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "LOTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "757-539-8716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "VA",
"license": "0618000298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9230271",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1629003496",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.