Individual provider Active NPI

Ihor J Zalipsky, OD

  • Optometrist
  • Bristol, PA
National Provider Identifier
1346253549
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001055 Issued in PA
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001828251MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110218000927 PA Practitioner - Optometry 5193906493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Century Eye Care, P.C.Group PAC ID 3173416237, 15 clinicians

Practice addresses (Care Compare)

216 Mill St
Bristol, PA 19007-4809
Phone (215) 781-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEDO8011TPAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Century Eye Care, PC CurrentSince Jul 11, 2003 Accepting new patients
Tri-Century Eye Care, PC CurrentSince Jul 11, 2003 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.