Active NPI
Amy Michelle Fitzgerald, O.D.
- Optometrist
- Saint Joseph, MO
National Provider Identifier
1992893192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03338
- Practice address
- 2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481 - Phone
- (816) 671-0500
- Fax
- (816) 671-0600
- NPI assigned
- Oct 11, 2006
- 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 | T03338 | MO | Primary |
Addresses
Primary practice location
2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Mailing address
2229 N Belt Hwy Ste a
Saint Joseph, MO 64506-2481
Phone (816) 671-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27265055 | Other | BLUECROSSBLUESHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T03338 | MO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Rosenak'S Optical Options, Inc. | Past | Accepting new patients | |
| Eyecare Centers of America | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Saint Joseph, MO
- NPI 1063571271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992893192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 N BELT HWY STE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062481",
"telephone_number": "816-671-0500",
"fax_number": "816-671-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 N BELT HWY STE A",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062481",
"telephone_number": "816-671-0500",
"fax_number": "816-671-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "AMY",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD",
"identifier": "27265055",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.