Individual provider Active NPI

Max E Zolman, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1053498691
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD936 Issued in TN
Practice address
6777 Clinton Hwy
Knoxville, TN 37912-1020
Phone
(865) 938-6769
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 OD936 TN Primary

Addresses

Primary practice location

6777 Clinton Hwy
Knoxville, TN 37912-1020

Mailing address

7346 Oxmoor Rd
Knoxville, TN 37931-1842
Phone (865) 938-1770

Other identifiers 1

IdentifierTypeStateIssuer
3595369MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090123000337 TN Practitioner - Optometry 2365506136 Practice locations: Knoxville, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD936TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1053498691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7346 OXMOOR RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379311842",
            "telephone_number": "865-938-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6777 CLINTON HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121020",
            "telephone_number": "865-938-6769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "MAX",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3595369",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.