Active NPI
Jennifer Lynn Zwinck, O.D.
- Optometrist
- Covington, LA
National Provider Identifier
1265523278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1357-491T
- Practice address
- 4001 Pinnacle Pkwy
Covington, LA 70433-6052 - Phone
- (504) 813-5938
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1357-491T | LA | Primary |
Addresses
Primary practice location
4001 Pinnacle Pkwy
Covington, LA 70433-6052
Mailing address
150 Adair St
Mandeville, LA 70448-5700
Phone (504) 813-5938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475831 | Medicaid | LA |
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 |
|---|---|---|---|
| 1357-491T | LA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1265523278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 ADAIR ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704485700",
"telephone_number": "504-813-5938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 PINNACLE PKWY",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704336052",
"telephone_number": "504-813-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWINCK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1357-491T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1475831",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.