Kyrillos Zaki, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35601 Issued in CA

Practice address

27514 W Lugonia Ave
Redlands, CA 92374-1409

Phone

(857) 284-9441

NPI assigned

Oct 10, 2023

Sex

Male

Sole proprietor

No

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 CA

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

Medicare enrollment (NPD)

Enrolled

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.

• Tedder Optometric Clinic Management, P.C.

  • Optometrist
  • Fontana, CA
  • NPI 1851091805
  Medicare reassignment NPD
• Tedder Optometry Group, PC

  • Optometrist
  • San Dimas, CA
  • NPI 1184484222
  NPD (past)
• Visionary Retail Management Ca, Inc

  • Eyewear Supplier
  • Los Angeles, CA
  • NPI 1912713033
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1215718804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BARTON RD APT 412",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27514 W LUGONIA AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923741409",
            "telephone_number": "857-284-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKI",
        "first_name": "KYRILLOS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeh Yung, M.D.
• Marsha Marie Zachary, MS, AMFT
• Afshin Zadfar
• Madison Tucker Zagurski, PA-C
• April Zainea, FNP
• Adalbert Zamora
• Joel Mallari Zamora, PT
• Alan Zane, MPT
• Abigail Dru Zanoni, OTR/L
• Elizabeth Ann Zappia

• Optometrist in Redlands, CA
• Providers in Redlands, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.