Individual provider Active NPI

Miki Lyn Zilnicki, O.D.

  • Optometrist
  • Riverhead, NY
National Provider Identifier
1063852986
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007991-1 Issued in NY
Practice address
25 Cranberry St
Suite a
Riverhead, NY 11901-2762
Phone
(631) 740-9384
Fax
(631) 740-9385
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007991-1 NY Primary

Addresses

Primary practice location

25 Cranberry St
Suite a
Riverhead, NY 11901-2762

Mailing address

25 Cranberry St
Suite a
Riverhead, NY 11901-2762
Phone (631) 740-9384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20151103001139 NY Practitioner - Optometry 3072820950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Twin Forks Optometry PLLCGroup PAC ID 1557678422, 2 clinicians
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

25 Cranberry St
Unit a
Riverhead, NY 11901-2799
Phone (631) 740-9384

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007991-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Forks Optometry, PLLC Optometrist CurrentSince Aug 31, 2015 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 1, 2016 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 1, 2016 Accepting new patients

Locations

201 S Research Pl
Central Islip, NY 11722
Phone (631) 581-4719

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

25 Cranberry St
Unit A
Riverhead, NY 11901
Phone (631) 740-9384

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Organizations & group practices 4

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1063852986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CRANBERRY ST",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012762",
            "telephone_number": "631-740-9384",
            "fax_number": "631-740-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CRANBERRY ST",
            "address_2": "SUITE A",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012762",
            "telephone_number": "631-740-9384",
            "fax_number": "631-740-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILNICKI",
        "first_name": "MIKI",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007991-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

Verify at the official NPI Registry.