Active NPI
Kalman Zabirowicz, O.D.
- Optometrist
- East Islip, NY
National Provider Identifier
1124099148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT-003811
- Practice address
- 369 E Main St
Suite 6
East Islip, NY 11730-2800 - Phone
- (631) 224-4834
- Fax
- (631) 277-7325
- NPI assigned
- Jan 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT-003811 | NY | Primary |
Addresses
Primary practice location
369 E Main St
Suite 6
East Islip, NY 11730-2800
Mailing address
369 E Main St
Suite 6
East Islip, NY 11730-2800
Phone (631) 224-4834
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 412167012 | Other | NY | VISION SERVICE PLAN |
| 3795886 | Other | NY | AETNA PROVIDER NUMBER |
| 50499 | Other | NY | DAVIS VISION PROVIDER NO |
| KZ0C411H10 | Other | NY | EMPIRE BC BS PIN |
| 3213843 | Other | NY | CIGNA PPO OAP |
| P00253979 | Other | NY | RAILROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003811 | NY | MD | Mental Health Counselor |
| VUT-003811 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1124099148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 E MAIN ST",
"address_2": "SUITE 6",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302800",
"telephone_number": "631-224-4834",
"fax_number": "631-277-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 E MAIN ST",
"address_2": "SUITE 6",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302800",
"telephone_number": "631-224-4834",
"fax_number": "631-277-7325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZABIROWICZ",
"first_name": "KALMAN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-28",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT-003811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "412167012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "3795886",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION PROVIDER NO",
"identifier": "50499",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC BS PIN",
"identifier": "KZ0C411H10",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO OAP",
"identifier": "3213843",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00253979",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.