Individual provider Active NPI

Ammie Marie Chizek, OD

  • Optometrist
  • Bettendorf, IA
National Provider Identifier
1801859228
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02286 Issued in IA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20040916000840 IA Practitioner - Optometry 8628045770 Reassigns benefits to 1 organization

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
Chizek Family Eyecare IncGroup PAC ID 6709891740, 3 clinicians

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 100Reported as individual
Quality
73.34
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02286IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Virdi Eye Clinic of Iowa, P.C. Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.