Active NPI
Daniel Joseph Zych, O.D.
- Optometrist
- Plymouth, IN
National Provider Identifier
1457550493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18003474A
- Practice address
- 2505 N Oak Dr
Plymouth, IN 46563-3410 - Phone
- (574) 935-4224
- NPI assigned
- Jul 11, 2007
- 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 | 18003474A | IN | Primary |
Addresses
Primary practice location
2505 N Oak Dr
Plymouth, IN 46563-3410
Mailing address
8970 Willow LN
Saint John, IN 46373-9383
Phone (219) 669-7564
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20110121000242 | IN | Practitioner - Optometry | 9638358740 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Optometry | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Saint John, IN
- NPI 1699107664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290556800000",
"number": "1457550493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8970 WILLOW LN",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739383",
"telephone_number": "219-669-7564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 N OAK DR",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465633410",
"telephone_number": "574-935-4224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYCH",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2010-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003474A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.