Organization Active NPI

Spitz Eyecare LLC

  • Optometrist
  • Burlington, IA
National Provider Identifier
1982944062
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002561 Issued in IA
Legal business name
SPITZ EYECARE LLC
Practice address
1035 Lawrence St
Suite 106
Burlington, IA 52601-1549
Phone
(319) 208-1843
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Melissa Spitz, O.D.
Title
Optometrist/Owner
Phone
(319) 208-1843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002561 IA Primary

Addresses

Primary practice location

1035 Lawrence St
Suite 106
Burlington, IA 52601-1549

Mailing address

1035 Lawrence St
Suite 106
Burlington, IA 52601-1549
Phone (319) 208-1843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140723001976 IA Part B Supplier - Clinic/Group Practice 9739305988 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, IA

National Provider Directory

National Provider Directory

Locations

1035 Lawrence St
Ste 106
Burlington, IA 52601
Phone (319) 208-1843

1035 Lawrence St
Burlington, IA 52601

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1982944062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LAWRENCE ST",
            "address_2": "SUITE 106",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011549",
            "telephone_number": "319-208-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LAWRENCE ST",
            "address_2": "SUITE 106",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526011549",
            "telephone_number": "319-208-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPITZ EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "SPITZ",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "319-208-1843",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.