Active NPI
Jason B Zielinski, ABOC/NCLEC
- Optician
- Petoskey, MI
National Provider Identifier
1124802939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 178176
- Practice address
- 1850 Anderson Rd
Petoskey, MI 49770-8893 - Phone
- (231) 439-0078
- Fax
- (231) 439-0080
- NPI assigned
- Aug 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 178176 | MI | |
| Contact Lens Fitter | 156FC0801X | 178176 | MI | |
| Optician | 156FX1800X | 178176 | MI | Primary |
Addresses
Primary practice location
1850 Anderson Rd
Petoskey, MI 49770-8893
Mailing address
1850 Anderson Rd
Petoskey, MI 49770-8893
Phone (231) 439-0078
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178176 | MI | MD | Contact Lens Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1124802939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 ANDERSON RD",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708893",
"telephone_number": "231-439-0078",
"fax_number": "231-439-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 ANDERSON RD",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497708893",
"telephone_number": "231-439-0078",
"fax_number": "231-439-0080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIELINSKI",
"first_name": "JASON",
"middle_name": "B",
"credential": "ABOC/NCLEC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "MI",
"license": "178176",
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": "MI",
"license": "178176",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MI",
"license": "178176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.