Active NPI
Nicolotte Zawilinski, O.D.
- Optometrist
- Charlotte, NC
National Provider Identifier
1013193697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2103
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2103 | NC | MD | Optometrist |
| 4643 | MA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lux Eye Care, O.D, PLLC | Optometrist | Current | 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.
-
- Optometrist
- Matthews, NC
- NPI 1891159000
-
- Optometrist
- Holyoke, MA
- NPI 1841359908
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.