Individual provider Active NPI

Nada Zivkovic, OD

  • Optometrist
  • Cleveland, OH
National Provider Identifier
1063421113
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4880 Issued in OH
Practice address
6950 W 130TH St
Cleveland, OH 44130-7809
Phone
(440) 886-8618
Fax
(440) 888-9512
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4880 OH Primary

Addresses

Primary practice location

6950 W 130TH St
Cleveland, OH 44130-7809

Mailing address

6950 W 130TH St
Cleveland, OH 44130-7809
Phone (440) 886-8618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050531000119 OH Practitioner - Optometry 2365484433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Anita M Soto O.D. Inc.Group PAC ID 6608034160, 3 clinicians

Practice addresses (Care Compare)

6785 Wallings Rd
North Royalton, OH 44133-3024
Phone (440) 237-9120

6785 Wallings Rd
North Royalton, OH 44133-3025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4880OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Anita M Soto O.D. Inc. Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients

Locations

6785 Wallings Rd
North Royalton, OH 44133
Phone (440) 237-9120

Organizations & group practices 6

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1063421113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 W 130TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307809",
            "telephone_number": "440-886-8618",
            "fax_number": "440-888-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 W 130TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441307809",
            "telephone_number": "440-886-8618",
            "fax_number": "440-888-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVKOVIC",
        "first_name": "NADA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.