Brett Edward Zwolensky, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0000002290 Issued in TN

Practice address

1 Med Center Dr
Eye Clinic
Clarksburg, WV 26301-4155

Phone

(304) 623-3461

Fax

(304) 626-7748

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396778460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SHERWOOD RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263301040",
            "telephone_number": "304-641-9504",
            "fax_number": "304-626-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MED CENTER DR",
            "address_2": "EYE CLINIC",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263014155",
            "telephone_number": "304-623-3461",
            "fax_number": "304-626-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWOLENSKY",
        "first_name": "BRETT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000002290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Zemonick Jenkins, CMA
• Larry Eugene Zickefoose
• Suprenna Zickefoose
• Tyler M Zimm
• Lindsay Nicole Zirkle, OTR/L

• Optometrist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.