Individual provider Active NPI

Marium Warsi-Zehri, OD

  • Optometrist
  • Winston Salem, NC
National Provider Identifier
1073019998
Registry record updated Mar 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2516 Issued in NC
Practice address
3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011
Phone
(535) 033-6765
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2516 NC Primary

Addresses

Primary practice location

3316 Silas Creek Pkwy
Winston Salem, NC 27103-3011

Mailing address

4048 Parkside Meadow CT
Winston Salem, NC 27127-7476
Phone (480) 277-2773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180517002422 NC Practitioner - Optometry 4183989338 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2516NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winston Salem Optometric Group PA Optometrist CurrentSince Dec 12, 2018 Accepting new patients
Camel City Optometric, P.a. Optometrist CurrentSince Jan 22, 2019 Accepting new patients

Locations

604 N Trade St
#B
Winston Salem, NC 27101
Phone (336) 727-3727

302 S Stratford Rd
Ste B
Winston Salem, NC 27103
Phone (336) 722-5346

604 N Trade St
Ste B
Winston Salem, NC 27101

Organizations & group practices 2

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1073019998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 PARKSIDE MEADOW CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277476",
            "telephone_number": "480-277-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033011",
            "telephone_number": "535-033-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSI-ZEHRI",
        "first_name": "MARIUM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.