Active NPI
Jordan Scott Zinn, O.D.
- Optometrist
- West Haven, CT
National Provider Identifier
1366619306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002744
- Practice address
- 950 Campbell Ave
Eye Clinic: Building 2 Floor 4
West Haven, CT 06516-2770 - Phone
- (646) 284-8591
- NPI assigned
- May 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002744 | CT | Primary |
Addresses
Primary practice location
950 Campbell Ave
Eye Clinic: Building 2 Floor 4
West Haven, CT 06516-2770
Mailing address
100 York St
3M
New Haven, CT 06511-5620
Phone (646) 284-8591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150527002009 | CT | Order and Referring Only - Optometry | 5991025215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1366619306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 YORK ST",
"address_2": "3M",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065115620",
"telephone_number": "646-284-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 CAMPBELL AVE",
"address_2": "EYE CLINIC: BUILDING 2 FLOOR 4",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162770",
"telephone_number": "646-284-8591"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINN",
"first_name": "JORDAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.