Active NPI
Toni Lauren Zimmerman, O.D.
- Optometrist
- Pinon, AZ
National Provider Identifier
1487822870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001859
- Practice address
- Navajo Route 4
Pinon Health Center
Pinon, AZ 86510-1127 - Phone
- (928) 725-3220
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 | OEG001859 | PA | Primary |
Addresses
Primary practice location
Navajo Route 4
Pinon Health Center
Pinon, AZ 86510-1127
Mailing address
PO Box PH
Chinle, AZ 86503-8000
Phone (928) 674-7166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102711416 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1487822870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX PH",
"city": "CHINLE",
"state": "AZ",
"postal_code": "865038000",
"telephone_number": "928-674-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAJO ROUTE 4",
"address_2": "PINON HEALTH CENTER",
"city": "PINON",
"state": "AZ",
"postal_code": "865101127",
"telephone_number": "928-725-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "TONI",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102711416",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinon, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.