NPIMap

Organization Active NPI

Zieker Eye Ophthalmology, P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Wilton, NY
National Provider Identifier
1346543147
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
237533 Issued in NY
Legal business name
ZIEKER EYE OPHTHALMOLOGY, P.C.
Practice address
14 Mountain Ledge
Wilton, NY 12831-1858
Phone
(518) 450-1080
Fax
(518) 478-8500
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Christopher R Zieker, M.D.NPI 1336127075
Title
President/Owner
Phone
(518) 450-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 237533 NY Primary

Addresses

Primary practice location

14 Mountain Ledge
Wilton, NY 12831-1858

Mailing address

14 Mountain Ledge Dr.
Wilton, NY 12831-1858
Phone (518) 450-1080

Other identifiers 1

IdentifierTypeStateIssuer
25694475MedicaidNY

Other names 1

  • Zieker Eye Ophthalmology Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110317000524 NY Part B Supplier - Clinic/Group Practice 8527241231 Receives reassigned benefits from 4 practitioners
Practice locations: Wilton, NY

National Provider Directory

National Provider Directory

Locations

14 Mountain Ledge
Wilton, NY 12831
Phone (518) 339-4839

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1346543147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE DR.",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128311858",
            "telephone_number": "518-450-1080",
            "fax_number": "518-478-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128311858",
            "telephone_number": "518-450-1080",
            "fax_number": "518-478-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIEKER EYE OPHTHALMOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "ZIEKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "518-450-1080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NY",
            "license": "237533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25694475",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zieker Eye Ophthalmology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.