Active NPI
Ihor J Zalipsky, OD
- Optometrist
- Bristol, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001055
- Practice address
- 216 Mill Street
Bristol, PA 19007 - Phone
- (215) 781-2020
- Fax
- (215) 781-6794
- NPI assigned
- Aug 15, 2006
- Last updated
- Nov 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEDO8011T | PA | |
| Optometrist | 152W00000X | OEG001055 | PA | Primary |
Addresses
Primary practice location
216 Mill Street
Bristol, PA 19007
Mailing address
216 Mill Street
Bristol, PA 19007
Phone (215) 781-2020
Other practice location 1
319 Second Street Pike Ste A
Southampton, PA 18966-3845
Phone (215) 355-4428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001828251 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 Mill St
Bristol, PA 19007-4809
Phone (215) 781-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEDO8011T | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Century Eye Care, PC | Current | Accepting new patients | |
| Tri-Century Eye Care, PC | Current | Accepting new patients |
Locations
216 Mill St
Bristol, PA 19007
Phone (215) 781-2020
216 Mill St
#B
Bristol, PA 19007
Phone (215) 781-2020
352 E Butler Ave
New Britain, PA 18901
Phone (215) 230-4700
319 2nd Street Pike
Southampton, PA 18966
Phone (215) 355-4428
319 2nd Street Pike
Ste A
Southampton, PA 18966
Phone (215) 355-4428
10000 Anns Choice Way
Warminster, PA 18974
Phone (215) 443-3801
10000 Anns Choice Way
Fl 1
Warminster, PA 18974
Phone (215) 355-4428
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- izalipsky@tcec.intellechartdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Southampton, PA
- NPI 1336154087
-
- Durable Medical Equipment & Medical Supplies
- Southampton, PA
- NPI 1124642343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1346253549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "216 MILL STREET",
"city": "BRISTOL",
"state": "PA",
"postal_code": "19007",
"telephone_number": "215-781-2020",
"fax_number": "215-781-6794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MILL STREET",
"city": "BRISTOL",
"state": "PA",
"postal_code": "19007",
"telephone_number": "215-781-2020",
"fax_number": "215-781-6794"
}
],
"practiceLocations": [
{
"address_1": "319 Second Street Pike Ste A",
"address_purpose": "LOCATION",
"city": "Southampton",
"state": "PA",
"postal_code": "189663845",
"country_code": "US",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZALIPSKY",
"first_name": "IHOR",
"middle_name": "J",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEDO8011T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001828251",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.