Individual provider Active NPI

William Vernon Ritzel, O.D.

  • Optometrist
  • Belleville, IL
National Provider Identifier
1699763458
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46-9636 Issued in IL
Practice address
22 N Jackson St
Belleville, IL 62220-1425
Phone
(618) 233-1270
Fax
(618) 233-5939
NPI assigned
Oct 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46-9636 IL Primary
Corneal and Contact Management Optometrist 152WC0802X 46-9636 IL
Pediatric Optometrist 152WP0200X 46-9636 IL
Sports Vision Optometrist 152WS0006X 46-9636 IL
Occupational Vision Optometrist 152WX0102X 46-9636 IL

Addresses

Primary practice location

22 N Jackson St
Belleville, IL 62220-1425

Mailing address

22 N Jackson St
Belleville, IL 62220-1425
Phone (618) 233-1270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040916000198 IL Practitioner - Optometry 5991772162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Eye Care Solutions LTDGroup PAC ID 9234186628, 2 clinicians

Practice addresses (Care Compare)

22 N Jackson St
Belleville, IL 62220-1425
Phone (618) 233-1270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46-9636ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Eye Care Solutions, LTD. Optometrist CurrentSince Feb 2, 2005 Accepting new patients

Locations

22 N Jackson St
Belleville, IL 62220
Phone (618) 233-1270

Organizations & group practices 1

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1699763458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270",
            "fax_number": "618-233-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270",
            "fax_number": "618-233-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITZEL",
        "first_name": "WILLIAM",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-9636",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "46-9636",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": "46-9636",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "46-9636",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IL",
            "license": "46-9636",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.