Active NPI
Ammie Marie Chizek, OD
- Optometrist
- Bettendorf, IA
National Provider Identifier
1801859228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 02286
- Practice address
- 1875 Middle Rd
Bettendorf, IA 52722-3203 - Phone
- (563) 359-4446
- Fax
- (563) 359-0381
- NPI assigned
- Apr 7, 2006
- Last updated
- Oct 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02286 | IA | Primary |
Addresses
Primary practice location
1875 Middle Rd
Bettendorf, IA 52722-3203
Mailing address
316 S 8TH Ave
Eldridge, IA 52748-2005
Phone (563) 285-6855
Other names 1
- Ammie Marie Mathon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1875 Middle Rd
Bettendorf, IA 52722-3203
Phone (563) 359-4446
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.67 of 100
- Quality
- 73.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02286 | IA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virdi Eye Clinic of Iowa, P.C. | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- ammie.chizek@direct.revolutionehr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1801859228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 S 8TH AVE",
"city": "ELDRIDGE",
"state": "IA",
"postal_code": "527482005",
"telephone_number": "563-285-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 MIDDLE RD",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527223203",
"telephone_number": "563-359-4446",
"fax_number": "563-359-0381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIZEK",
"first_name": "AMMIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-07",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMMIE",
"last_name": "MATHON",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.