Individual provider Active NPI

Emily E Zinke, OD

  • Optometrist
  • Mandan, ND
National Provider Identifier
1336708387
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
765 Issued in ND
Practice address
113 3Rd Ave NW
Mandan, ND 58554-3129
Phone
(701) 663-2020
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 765 ND Primary

Addresses

Primary practice location

113 3Rd Ave NW
Mandan, ND 58554-3129

Mailing address

113 3Rd Ave NW
Mandan, ND 58554-3129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20190724003208 ND Practitioner - Optometry 9830425156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Professionals PCGroup PAC ID 9638138993, 4 clinicians

Practice addresses (Care Compare)

113 3Rd Ave NW
Mandan, ND 58554-3129
Phone (701) 663-7434

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
765NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Professionals PC Optometrist CurrentSince May 26, 2019 Accepting new patients

Locations

113 3rd Ave NW
Mandan, ND 58554
Phone (701) 663-2020

Organizations & group practices 1

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1336708387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 3RD AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 3RD AVE NW",
            "city": "MANDAN",
            "state": "ND",
            "postal_code": "585543129",
            "telephone_number": "701-663-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKE",
        "first_name": "EMILY",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandan, ND

Sources for this page

Verify at the official NPI Registry.