Pine Vision Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PINE VISION CARE PC

Practice address

1018 Pine St FL 1
Philadelphia, PA 19107-6069

Phone

(215) 575-5198

Fax

(215) 982-1193

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Julia Zyrina, ODNPI 1497109664

Title

Ceo

Phone

(215) 575-5198

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

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

• Julia Zyrina, O.D.

  • Optometrist
  • Philadelphia, PA
  • NPI 1497109664
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1316426240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PINE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076069",
            "telephone_number": "215-575-5198",
            "fax_number": "215-982-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PINE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076069",
            "telephone_number": "215-575-5198",
            "fax_number": "215-982-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "ZYRINA",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-575-5198",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda M Pincus, PHARMD
• Pinder Care Home Health
• Shaconna Pinder
• Pine Street Dermatology, PC
• Pine Tree Health
• Juan Pablo Pineda Reyes, MD
• Carlos Jennings Pineda
• Jasmine Pineda, PT, DPT
• Maria Carissa Pineda, M.D.
• Yoselyn B. Pineda, PA-C

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.