Organization Active NPI

Dr. Mark Zebrowski OD, PA

  • Optometrist
  • Grapevine, TX
National Provider Identifier
1528247236
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5764T Issued in TX
Legal business name
DR. MARK ZEBROWSKI OD, PA
Practice address
1319 W St Hwy 114
Suite 320
Grapevine, TX 76051-8617
Phone
(817) 421-9705
Fax
(817) 421-9716
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Mark S Zebrowski, O.D.NPI 1427010263
Title
Owner
Phone
(817) 421-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5764T TX Primary

Addresses

Primary practice location

1319 W St Hwy 114
Suite 320
Grapevine, TX 76051-8617

Mailing address

1319 W St Hwy 114
Suite 320
Grapevine, TX 76051-8617
Phone (817) 421-9705

National Provider Directory

National Provider Directory

Locations

1319 W State Highway 114
Grapevine, TX 76051

1319 W State Highway 114
Ste 320
Grapevine, TX 76051
Phone (817) 421-9705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1528247236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 W ST HWY 114",
            "address_2": "SUITE 320",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518617",
            "telephone_number": "817-421-9705",
            "fax_number": "817-421-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 W ST HWY 114",
            "address_2": "SUITE 320",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518617",
            "telephone_number": "817-421-9705",
            "fax_number": "817-421-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MARK ZEBROWSKI OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "ZEBROWSKI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-421-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5764T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.