Michelle L Stalzer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA02315 Issued in IA

Practice address

1451 Coral Ridge Ave
Suite 104
Coralville, IA 52241-2802

Phone

(319) 354-5185

Fax

(319) 354-4201

NPI assigned

Jul 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Douglas Dean Hand, OD

  • Optometrist
  • Iowa City, IA
  • NPI 1689655169
  Medicare reassignment
• Advanced Eye Care LLC

  • Optometrist
  • Iowa City, IA
  • NPI 1023888286
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972536605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CAMBRIDGE WAY",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179022",
            "telephone_number": "319-665-6639",
            "fax_number": "319-354-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 CORAL RIDGE AVE",
            "address_2": "SUITE 104",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412802",
            "telephone_number": "319-354-5185",
            "fax_number": "319-354-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALZER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA02315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Spence, DPT
• Alyssa Spiegel, MS, CCC-SLP
• Melissa Kay Spores, PTA
• Christina E Stai, PSY.D.
• Conrad Stalheim, D.C.
• Nicole Standaert
• State University of Iowa (Ui Quickcare - Coralville)
• State University of Iowa (Mother's Milk Bank of Iowa)
• State University of Iowa
• State University of Iowa (Iowa Lions Eye Bank)

• Optometrist in Coralville, IA
• Providers in Coralville, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.