Jeffrey Thomas Zigulis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4816/T1681 Issued in OH

Practice address

1073 Pray Blvd
Waterville, OH 43566-8712

Phone

(567) 952-2020

Fax

(567) 952-2142

NPI assigned

May 19, 2006

Sex

Male

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 1

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

Illinois College of Optometry at Chicago, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zigulis Eye Care Inc.

  • Optometrist
  • Lambertville, MI
  • NPI 1477683407

  OH

  Medicare reassignment Authorized official
• Advanced Eye Care MD PC

  • Ophthalmology Physician
  • Southfield, MI
  • NPI 1164599437
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1619920535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 PRAY BLVD",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668712",
            "telephone_number": "567-952-2020",
            "fax_number": "567-952-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 PRAY BLVD",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "435668712",
            "telephone_number": "567-952-2020",
            "fax_number": "567-952-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGULIS",
        "first_name": "JEFFREY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003971",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4816/T1681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "0P10040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maleigha Kim, Ma Rin Watts, N.D.
• Tamila A Wilhelm, RN, APRN , FNP-C
• Charles Edward Winzeler, RPH
• Lori Yant
• Tricia Rae Yates

• Optometrist in Waterville, OH
• Providers in Waterville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.