Individual provider Active NPI

Julia Zyrina, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1497109664
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003103 Issued in PA
Practice address
1018 Pine St FL 1
Philadelphia, PA 19107-6069
Phone
(215) 575-5198
Fax
(215) 982-1193
NPI assigned
Apr 14, 2016
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003103 PA Primary

Addresses

Primary practice location

1018 Pine St FL 1
Philadelphia, PA 19107-6069

Mailing address

1018 Pine St FL 1
Philadelphia, PA 19107-6069
Phone (215) 575-5198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190115000360 PA Practitioner - Optometry 7214273119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1018 Pine St
FL 1
Philadelphia, PA 19107-6069
Phone (215) 575-5198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1497109664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 PINE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076069",
            "telephone_number": "215-575-5198",
            "fax_number": "215-982-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 PINE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191076069",
            "telephone_number": "215-575-5198",
            "fax_number": "215-982-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYRINA",
        "first_name": "JULIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-14",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.