Individual provider Active NPI

Michael S. Zirkle, O.D.

  • Optometrist
  • Marion, IN
National Provider Identifier
1043251887
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002526 Issued in IN
Practice address
610 W 38TH St
Marion, IN 46953-4864
Phone
(765) 674-7525
Fax
(765) 674-7844
NPI assigned
Jun 10, 2006
Last updated
Jun 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002526 IN Primary

Addresses

Primary practice location

610 W 38TH St
Marion, IN 46953-4864

Mailing address

610 W 38TH St
Marion, IN 46953-4864
Phone (765) 674-7525

Other identifiers 1

IdentifierTypeStateIssuer
100124290MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100709000491 IN Practitioner - Optometry 4880779099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 W 38TH St
Marion, IN 46953-4864
Phone (765) 674-7525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002526INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robbins & Zirkle, PTRS. Optometrist CurrentSince Aug 4, 1997 Accepting new patients

Locations

610 W 38th St
Marion, IN 46953
Phone (765) 662-2595

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1043251887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 W 38TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534864",
            "telephone_number": "765-674-7525",
            "fax_number": "765-674-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W 38TH ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469534864",
            "telephone_number": "765-674-7525",
            "fax_number": "765-674-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRKLE",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.