Marina Alexandra Zolotova, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2043 Issued in MD

Practice address

11160 Veirs Mill Rd
Lenscrafters Dr. Donna M. Glenn and Associates
Wheaton, MD 20902-2538

Phone

(301) 949-3960

Fax

(301) 949-3962

NPI assigned

Mar 28, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Optometry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye to Eye IncGroup PAC ID 3870662901, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye to Eye Inc

  • Optometrist
  • Germantown, MD
  • NPI 1639360407

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1093834640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD",
            "address_2": "LENSCRAFTERS DR. DONNA M. GLENN AND ASSOCIATES",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022538",
            "telephone_number": "301-949-3960",
            "fax_number": "301-949-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD",
            "address_2": "LENSCRAFTERS DR. DONNA M. GLENN AND ASSOCIATES",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022538",
            "telephone_number": "301-949-3960",
            "fax_number": "301-949-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLOTOVA",
        "first_name": "MARINA",
        "middle_name": "ALEXANDRA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Twane Williams, MS
• Peter A Winkelman, DDS
• Michael Seng Chung Wong
• David Yin, MD
• Michael J Yun, MD

• Optometrist in Wheaton, MD
• Providers in Wheaton, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.