Active NPI
Randal L Zink, O.D.
- Optometrist
- New Martinsville, WV
National Provider Identifier
1043230790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 856OD
- Practice address
- 273 N State Route 2
New Martinsville, WV 26155-2203 - Phone
- (304) 455-5524
- Fax
- (304) 455-5532
- NPI assigned
- Jul 19, 2006
- Last updated
- Nov 8, 2010
- 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 | 856OD | WV | Primary |
Addresses
Primary practice location
273 N State Route 2
New Martinsville, WV 26155-2203
Mailing address
273 N State Route 2
New Martinsville, WV 26155-2203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20060119000208 | WV | Practitioner - Optometry | 1850315607 | Practice locations: New Martinsville, WV |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
273 N State Route 2
New Martinsville, WV 26155-2203
Phone (304) 455-5524
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856OD | WV | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1043230790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "273 N STATE ROUTE 2",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "273 N STATE ROUTE 2",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552203",
"telephone_number": "304-455-5524",
"fax_number": "304-455-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINK",
"first_name": "RANDAL",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WV",
"license": "856OD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.