Individual provider Active NPI

Edward W. Zikoski, O.D.

  • Optometrist
  • Rockledge, PA
National Provider Identifier
1174619829
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000264 Issued in PA
Practice address
515 Huntingdon Pike
Rockledge, PA 19046-4451
Phone
(156) 639-6302
Fax
(215) 663-9038
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000264 PA Primary
Pediatric Optometrist 152WP0200X OEG000264 PA

Addresses

Primary practice location

515 Huntingdon Pike
Rockledge, PA 19046-4451

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040507000328 PA Practitioner - Optometry 6002805959 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Rockledge, PA; Washington Crossing, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLC 118 clinicians

Practice addresses (Care Compare)

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

2842 S Eagle Rd
Newtown, PA 18940-1543
Phone (215) 579-1155

515 Huntingdon Pike
Rockledge, PA 19046-4451
Phone (215) 663-9030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 10, 2024 Accepting new patients
Edward Zikoski Eye Prof of Washington Crossing Optometrist CurrentSince Jan 1, 1990 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 10, 2024 Accepting new patients
Yardley Eye Care, LLC Optometrist CurrentSince Jan 3, 2023 Accepting new patients
Huntingdon Valley Eye Care Consultants, LTD. Past Accepting new patients

Locations

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

515 Huntingdon Pike
Rockledge, PA 19046
Phone (215) 663-9030

1098 Washington Crossing Rd
Ste 5
Wshngtn Xing, PA 18977
Phone (215) 321-4481

1098 Washington Crossing Rd
Ste 1
Wshngtn Xing, PA 18977
Phone (215) 321-9111

1581 Big Oak Rd
Yardley, PA 19067
Phone (215) 369-3937

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1174619829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 HUNTINGDON PIKE",
            "city": "ROCKLEDGE",
            "state": "PA",
            "postal_code": "190464451",
            "telephone_number": "156-639-6302",
            "fax_number": "215-663-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKOSKI",
        "first_name": "EDWARD",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000264",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "PA",
            "license": "OEG000264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, PA

Sources for this page

Verify at the official NPI Registry.