Individual provider Active NPI

Joseph J Zinkovich, O.D.

  • Optometrist
  • Easley, SC
National Provider Identifier
1285856757
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1103 Issued in SC
Practice address
220 S Pendleton St
Easley, SC 29640-3048
Phone
(864) 859-3233
Fax
(864) 850-4001
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 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 2268DT KY
Optometrist 152W00000X 1103 SC Primary

Addresses

Primary practice location

220 S Pendleton St
Easley, SC 29640-3048

Mailing address

601 Halton Rd
Greenville, SC 29607-3403
Phone (864) 458-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041008001381 SC Practitioner - Optometry 0547229049 Reassigns benefits to 1 organization
I20220811001414 KY Practitioner - Optometry 0547229049 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2268DTKYMDOptometrist
1103SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pikeville Optometrist CurrentSince May 9, 2022 Accepting new patients
Jervey Eye Group, PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Pikeville Medical Center Inc. Optometrist CurrentSince Aug 31, 2022 Accepting new patients
Jervey Eye Group, PA Optometrist Current Accepting new patients
Jervey Eye Group, PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Pikeville Medical Center Inc CurrentSince Aug 31, 2022 Accepting new patients
Coastal Grand Eye Associates LTD. Co. Optometrist PastSince Mar 17, 2004 Accepting new patients
Eye Associates of Cayce - West Columbia Optometrist Past Accepting new patients
Eye Associates of Cayce West Columbia Optometrist PastSince Mar 10, 2024 Accepting new patients

Locations

41 Triangle St
Martin, KY 41649
Phone (606) 218-5540

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

147 Sycamore St
Pikeville, KY 41501
Phone (606) 218-5250

147 Sycamore St
#858
Pikeville, KY 41501

220 S Pendleton St
Easley, SC 29640
Phone (864) 250-6484

5 Stevens St
Ste 100
Greenville, SC 29605
Phone (864) 250-6487

601 Halton Rd
Greenville, SC 29607
Phone (864) 458-7956

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1285856757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HALTON RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296073403",
            "telephone_number": "864-458-7956",
            "fax_number": "864-458-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S PENDLETON ST",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296403048",
            "telephone_number": "864-859-3233",
            "fax_number": "864-850-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKOVICH",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2268DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.