Active NPI
John Robert Zechmann, O.D.
- Optometrist
- Brunswick, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000976
- Practice address
- 4875 Altama Ave
Brunswick, GA 31520-2912 - Phone
- (912) 554-0010
- Fax
- (912) 554-0075
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- 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 | OPT000976 | GA | Primary |
Addresses
Primary practice location
4875 Altama Ave
Brunswick, GA 31520-2912
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
2215 Memorial Dr Ste 25
Waycross, GA 31501-0987
Phone (912) 285-2021
Other practice location 2
4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5705800001 | Other | GA | CIGNA GOVERNMENT SERVICES |
| 000348906A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT000976 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Eye Care of Waycross PC | Past | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
2215 Memorial Dr
Ste 25
Waycross, GA 31501
Phone (912) 285-2021
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 4
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.
-
- Exclusive Provider Organization
- Waycross, GA
- NPI 1851571384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1528086147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 ALTAMA AVE",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315202912",
"telephone_number": "912-554-0010",
"fax_number": "912-554-0075"
}
],
"practiceLocations": [
{
"address_1": "2215 Memorial Dr Ste 25",
"address_purpose": "LOCATION",
"city": "Waycross",
"state": "GA",
"postal_code": "315010987",
"country_code": "US",
"telephone_number": "912-285-2021",
"fax_number": "912-285-5558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4875 Altama Ave",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315202912",
"country_code": "US",
"telephone_number": "912-554-0010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZECHMANN",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000976",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA GOVERNMENT SERVICES",
"identifier": "5705800001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000348906A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.