Individual provider Active NPI

Deann M Fitzgerald, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1619958428
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01818 Issued in IA
Practice address
3225 Williams Pkwy SW
Suite 1
Cedar Rapids, IA 52404-1476
Phone
(319) 366-3500
Fax
(319) 366-4116
NPI assigned
Nov 9, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01818 IA Primary

Addresses

Primary practice location

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

Mailing address

3225 Williams Pkwy SW
Suite 1
Cedar Rapids, IA 52404-1476
Phone (319) 366-3500

Other identifiers 1

IdentifierTypeStateIssuer
3015248MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000663 IA Practitioner - Optometry 4082606074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3225 Williams Pkwy SW
Suite 1
Cedar Rapids, IA 52404-1476
Phone (319) 366-3500

3235 Williams Pkwy SW
Suite 1
Cedar Rapids, IA 52404-1427
Phone (319) 364-2311

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery217

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01818IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spanda Inc Optometrist CurrentSince Sep 8, 2010 Accepting new patients
Dr Fitzgerald & Associates, Inc Optometrist CurrentSince Aug 28, 1984 Accepting new patients

Locations

3235 Williams Pkwy SW
Ste 1
Cedar Rapids, IA 52404
Phone (319) 364-2311

3225 Williams Pkwy SW
Ste 1
Cedar Rapids, IA 52404
Phone (319) 366-3500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1619958428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMS PKWY SW",
            "address_2": "SUITE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041476",
            "telephone_number": "319-366-3500",
            "fax_number": "319-366-4116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 WILLIAMS PKWY SW",
            "address_2": "SUITE 1",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524041476",
            "telephone_number": "319-366-3500",
            "fax_number": "319-366-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "DEANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3015248",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.