Shannon Marie Zollinger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002827 Issued in CT

Practice address

4244 Virginia Ave
Collinsville, VA 24078

Phone

(434) 385-5600

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family First Vision Care LLCGroup PAC ID 2769709179, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Ft Mitchell, KY
  • NPI 1396396750

  OH

  Medicare reassignment NPD
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Beavercreek, OH
  • NPI 1164142444
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1548491293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1290",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245511290",
            "telephone_number": "434-385-5600",
            "fax_number": "434-455-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4244 VIRGINIA AVE",
            "city": "COLLINSVILLE",
            "state": "VA",
            "postal_code": "24078",
            "telephone_number": "434-385-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603502",
            "country_code": "US",
            "telephone_number": "203-878-1236",
            "fax_number": "203-874-8838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "CT",
            "postal_code": "064603502",
            "country_code": "US",
            "telephone_number": "203-878-1236",
            "fax_number": "203-874-8838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLLINGER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5912",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548491293",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C00681",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marvin Stacy Wolfe
• Jaime Woodall
• Candace Marie Young, NP
• Zentmeyer Chiropractic PLLC
• Capers Penn Zentmeyer, DC

• Optometrist in Collinsville, VA
• Providers in Collinsville, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.