David a Lotz, Optometrist, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000298 Issued in VA

Legal business name

DAVID A LOTZ, OPTOMETRIST, PC

Practice address

1238 Holland Rd
Suite 103
Suffolk, VA 23434-6300

Phone

(757) 539-8716

Fax

(757) 539-7166

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

David A LotzNPI 1629003496

Title

President/Owner

Phone

(757) 539-8716

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

David a Lotz Optometrist PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr David a Lotz, Optometrist, PC

  • Optometrist
  • Suffolk, VA
  • NPI 1578734661
  NPD tax ID

Practitioners 1

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

• David A Lotz, O.D.

  • Optometrist
  • Suffolk, VA
  • NPI 1629003496
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1649412834",
    "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",
            "telephone_number": "757-539-8716",
            "fax_number": "757-539-7166"
        },
        {
            "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",
            "fax_number": "757-539-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A LOTZ, OPTOMETRIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "LOTZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "757-539-8716"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF VIRGINIA",
            "identifier": "250387",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9230271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quan Vu Hong Dao, MD
• Jamie L. Darden, N.P.
• Tiffany Darden
• Namrata Sanjeev Daru, DPM
• Ann Dasher, MSN, FNP-C
• Kaeli O Davies, NP
• April Marie Davis
• Christina Marie Davis, LPC
• Deja Davis, DNP
• Dorothy Davis

• Optometrist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.