Individual provider Active NPI

Nicolotte Zawilinski, O.D.

  • Optometrist
  • Charlotte, NC
National Provider Identifier
1013193697
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2103 Issued in NC
Practice address
3061 N. Sharon Amity Rd.
Suite a
Charlotte, NC 28205
Phone
(704) 567-6755
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4643 MA
Optometrist 152W00000X 2103 NC Primary

Addresses

Primary practice location

3061 N. Sharon Amity Rd.
Suite a
Charlotte, NC 28205

Mailing address

3061 N Sharon Amity Rd
Suite a
Charlotte, NC 28205-6600
Phone (704) 567-6755

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110208000039 NC Practitioner - Optometry 0547346306 Practice locations: Matthews, NC

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2435 Plantation Ctr Dr
Suite 120
Matthews, NC 28105-5148
Phone (704) 246-7681

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2103NCMDOptometrist
4643MAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lux Eye Care, O.D, PLLC Optometrist CurrentSince Apr 17, 2020 Accepting new patients
Vonnahme & Associates LLC PC Optometrist Past Accepting new patients

Locations

2435 Plantation Center Dr
Ste 120
Matthews, NC 28105
Phone (704) 246-7681

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.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281312000000",
    "number": "1013193697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 N SHARON AMITY RD",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056600",
            "telephone_number": "704-567-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 N. SHARON AMITY RD.",
            "address_2": "SUITE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28205",
            "telephone_number": "704-567-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAWILINSKI",
        "first_name": "NICOLOTTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2010-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4643",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.