Active NPI
Michael Zwolinski
- Optometrist
- St Augustine, FL
National Provider Identifier
1003944703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC2730
- Practice address
- 1815 US Highway 1 S
St Augustine, FL 32084-4240 - Phone
- (904) 547-2594
- Fax
- (904) 547-2644
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC2730 | FL | Primary |
Addresses
Primary practice location
1815 US Highway 1 S
St Augustine, FL 32084-4240
Mailing address
312 Second St
St Augustine, FL 32084-7307
Phone (904) 794-1085
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593549151 | Other | FL | CIGNA |
| 03492 | Other | FL | SPECTERA |
| 2784940 | Other | FL | AETNA |
| 20566 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 620958100 | Medicaid | FL | |
| 593549151 | Other | FL | UNITED HEALTHCARE |
| 410042741 | Other | FL | PALMETTO GBA |
| 593549151 | Other | FL | HUMANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120104000092 | FL | Practitioner - Optometry | 4284800806 | Practice locations: Saint Augustine, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1815 US Hwy 1 S
Saint Augustine, FL 32084-4240
Phone (904) 794-1085
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC2730 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1003944703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SECOND ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320847307",
"telephone_number": "904-794-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 US HIGHWAY 1 S",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320844240",
"telephone_number": "904-547-2594",
"fax_number": "904-547-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWOLINSKI",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC2730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "593549151",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "03492",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2784940",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "20566",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620958100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "593549151",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "410042741",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "593549151",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.