DR. ALEXANDER JAMES KITZMANN (OD) – Optometrist, NPI 1700778123

DR. ALEXANDER JAMES KITZMANN (OD) is a healthcare provider. based in Bettendorf, Iowa. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 133871 (IA). The NPI Number for DR. ALEXANDER JAMES KITZMANN (OD) is 1700778123

Main info

Male
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDER JAMES KITZMANN (OD)
NPI
1700778123
Phone
(563) 210-1830
Address
5230 BERKSHIRE CT
Enumeration Date
18 July 2025
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193389275
Graduation Year
2025 (1 year ago)
PAC ID
4082112248
Group Practice PAC ID
4688564313
Professional Enrollment ID
I20250807003755
Address ID
IA522406625IO1018XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

Provider Addresses for DR. ALEXANDER JAMES KITZMANN (OD)

  • 5230 BERKSHIRE CT

    BETTENDORF, IA 527225434

    Phone: (563) 210-1830

    Type: Mailing

  • 1018 WILLIAM ST

    IOWA CITY, IA 522406625

    Phone: (319) 338-9275

    Fax: (319) 338-2499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250807003755IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52722)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4688564313View full group profile
NameSpecialtyState
-IA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA
O P T O M E T R YIA

Reviews

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Frequently asked questions

How do I look up DR. ALEXANDER JAMES KITZMANN (OD) by NPI?
Use NPI 1700778123 when you need to reference DR. ALEXANDER JAMES KITZMANN (OD) in forms, claims, or directories.
Does this profile mean DR. ALEXANDER JAMES KITZMANN (OD) is currently active?
Yes — DR. ALEXANDER JAMES KITZMANN (OD) appears active in the national provider directory.
Does DR. ALEXANDER JAMES KITZMANN (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. ALEXANDER JAMES KITZMANN (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALEXANDER JAMES KITZMANN (OD)?
The page summarizes Bettendorf, Iowa for DR. ALEXANDER JAMES KITZMANN (OD); expand the address list for detail.
Is DR. ALEXANDER JAMES KITZMANN (OD) a real provider?
This page reflects official NPPES data for NPI 1700778123. Always confirm identity and privileges with the practice and licensing boards.

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