Individual provider Active NPI

Zenon Ciopyk, O.D.

  • Optometrist
  • Newark, NY
National Provider Identifier
1619060951
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4269 Issued in NY
Practice address
117 E Union St
Newark, NY 14513-1503
Phone
(315) 331-7917
Fax
(315) 331-7917
NPI assigned
Oct 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4269 NY Primary

Addresses

Primary practice location

117 E Union St
Newark, NY 14513-1503

Mailing address

3336 Lakes Corners Rose Valley Rd
Clyde, NY 14433-9724
Phone (315) 587-4092

Other identifiers 2

IdentifierTypeStateIssuer
00852800MedicaidNY
101958CSOtherNYPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080103000255 NY Practitioner - Optometry 6204916208 Reassigns benefits to 1 organization
Practice locations: Newak, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 E Union St
Newak, NY 14513-1503
Phone (315) 331-7917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4269NYMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center, Inc CurrentSince Aug 19, 2017 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Aug 19, 2017 Accepting new patients
Cary a Kazdan OD PLLC Optometrist PastSince Jul 1, 2001 Accepting new patients

Locations

333 Grant Avenue Rd
Auburn, NY 13021
Phone (315) 225-9212

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Organizations & group practices 3

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": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619060951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3336 LAKES CORNERS ROSE VALLEY RD",
            "city": "CLYDE",
            "state": "NY",
            "postal_code": "144339724",
            "telephone_number": "315-587-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131503",
            "telephone_number": "315-331-7917",
            "fax_number": "315-331-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOPYK",
        "first_name": "ZENON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "4269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00852800",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101958CS",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.