Ethan Zimmerman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10085T Issued in TX

Practice address

901 Mopac Expressway South, Barton Oaks Plaza 4
Suite 350
Austin, TX 78746

Phone

(512) 347-0255

NPI assigned

Aug 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MI2 enrollments

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 2

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Dr. Bradley P. Mundy, O.D., PLLCGroup PAC ID 7214344373, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.12 of 100Reported as group

Quality

89.41

Promoting interoperability

88

Improvement activities

40

Cost

77.66

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mann Eye Center, PA

  • Clinic/Center
  • Houston, TX
  • NPI 1629081799

  Optometrist

  Medicare reassignment Care Compare group NPD
• Dr. Bradley P. Mundy, O.D., PLLC

  • Optometrist
  • Buchanan, MI
  • NPI 1841875531
  Medicare reassignment Care Compare group NPD
• Dell Laser Consultants, P.a.

  • Ophthalmology Physician
  • Austin, TX
  • NPI 1386164481
  Medicare reassignment NPD
• Elite Vision Group, PLLC

  • Optometrist
  • Round Rock, TX
  • NPI 1326718339
  NPD
• Mann Eye Center

  • Ophthalmology Physician
  • The Woodlands, TX
  • NPI 1346673803

  Optometrist

  NPD
• Mann Eye Center, PA

  • Clinic/Center
  • Austin, TX
  • NPI 1609889765
  NPD
• Dell Laser Consultants

  • Ophthalmologic Surgery Clinic/Center
  • Austin, TX
  • NPI 1316347339
  NPD (past)

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1366053175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MOPAC EXPRESSWAY SOUTH, BARTON OAKS PLAZA 4",
            "address_2": "SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-347-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MOPAC EXPRESSWAY SOUTH, BARTON OAKS PLAZA 4",
            "address_2": "SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-347-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ETHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10085T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Shay Zimmer, LCSW
• Bridget Zimmerman
• Connor Zimmerman, AUD
• Deborah Zimmerman, LCSW
• Diamond T Zimmerman, FNP
• Jake Zimmerman, DPT
• Jessica Marie Zimmerman, MD MED
• Katherine Zimmerman, NP
• Kathryn Jean Swope Zimmerman, MOT, OTR
• Kimberly Zimmerman, PSYD

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.

Verify at the official NPI Registry.