Individual provider Active NPI

Vincent John Zingaro, O.D.

  • Optometrist
  • Malvern, PA
National Provider Identifier
1497952972
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001961 Issued in PA
Practice address
12 General Warren Blvd Ste 700
Malvern, PA 19355-1263
Phone
(610) 448-9910
Fax
(610) 488-9908
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001961 PA Primary

Addresses

Primary practice location

12 General Warren Blvd Ste 700
Malvern, PA 19355-1263

Mailing address

12 General Warren Blvd Ste 700
Malvern, PA 19355-1263
Phone (610) 448-9910

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
I20071105000202 PA Practitioner - Optometry 0648367805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians

Practice addresses (Care Compare)

180 Good Dr
Suite 2
Lancaster, PA 17603-4359
Phone (717) 397-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 6, 2020 Accepting new patients
The Elder Eye Care Group, Inc Optometrist CurrentSince Apr 12, 2012 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Apr 6, 2020 Accepting new patients
Visualeyes Optique PLLC Optometrist CurrentSince Mar 16, 2021 Accepting new patients
J James Suydam OD PC Optometrist Past Accepting new patients

Locations

133 Little Conestoga Rd
Chester Springs, PA 19425
Phone (610) 458-9800

2944 Conestoga Rd
Glenmoore, PA 19343

2944 Conestoga Rd
Unit D4
Glenmoore, PA 19343
Phone (610) 458-7171

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

180 Good Dr
Ste 2
Lancaster, PA 17603
Phone (717) 397-2020

12 General Warren Blvd
Ste 700
Malvern, PA 19355
Phone (610) 448-9910

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

501 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 917-9999

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497952972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GENERAL WARREN BLVD STE 700",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551263",
            "telephone_number": "610-448-9910",
            "fax_number": "610-488-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GENERAL WARREN BLVD STE 700",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551263",
            "telephone_number": "610-448-9910",
            "fax_number": "610-488-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGARO",
        "first_name": "VINCENT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

Verify at the official NPI Registry.