Individual provider Active NPI

Christian Scott Zechman, O.D.

  • Optometrist
  • Elizabethtown, PA
National Provider Identifier
1053793281
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003060 Issued in PA
Practice address
282 Maytown Rd Ste 100
Elizabethtown, PA 17022-9302
Phone
(717) 367-7838
Fax
(717) 367-6266
NPI assigned
Jun 24, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003060 PA Primary

Addresses

Primary practice location

282 Maytown Rd Ste 100
Elizabethtown, PA 17022-9302

Mailing address

282 Maytown Rd Ste 100
Elizabethtown, PA 17022-9302
Phone (717) 367-7838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150908000903 PA Practitioner - Optometry 7113233115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rebman Eyecare, P.C.Group PAC ID 7315974573, 2 clinicians

Practice addresses (Care Compare)

282 Maytown Rd
Suite 100
Elizabethtown, PA 17022-9302
Phone (717) 367-7838

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebman Eyecare, P.C. Optometrist CurrentSince Oct 3, 2016 Accepting new patients

Locations

282 Maytown Rd
Elizabethtown, PA 17022
Phone (717) 397-4724

282 Maytown Rd
Ste 100
Elizabethtown, PA 17022
Phone (717) 367-7838

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1053793281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN RD STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229302",
            "telephone_number": "717-367-7838",
            "fax_number": "717-367-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 MAYTOWN RD STE 100",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170229302",
            "telephone_number": "717-367-7838",
            "fax_number": "717-367-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHMAN",
        "first_name": "CHRISTIAN",
        "middle_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-24",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, PA

Sources for this page

Verify at the official NPI Registry.