Individual provider Active NPI

Carla M Zielinski, OPHTHALMIC DISPENSER

  • Optician
  • Bardstown, KY
National Provider Identifier
1114650835
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
KY-1306 Issued in KY
Practice address
215 Kentucky Home SQ
Bardstown, KY 40004-1823
Phone
(502) 628-2900
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X KY-1306 KY Primary

Addresses

Primary practice location

215 Kentucky Home SQ
Bardstown, KY 40004-1823

Mailing address

215 Kentucky Home SQ
Bardstown, KY 40004-1823
Phone (502) 628-2900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pearlevision@hazardhills.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
KY-1306KYMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1114650835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KENTUCKY HOME SQ",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041823",
            "telephone_number": "502-628-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KENTUCKY HOME SQ",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041823",
            "telephone_number": "502-628-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIELINSKI",
        "first_name": "CARLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OPHTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "KY-1306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pearlevision@hazardhills.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "215 Kentucky Home Sq",
            "city": "Bardstown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "400041823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.