Kelly J Zwiesdak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2076 Issued in NC

Practice address

3320 Silas Creek Pkwy
Suite 300
Winston Salem, NC 27103-3031

Phone

(336) 760-2169

Fax

(336) 760-2385

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Pennsylvania College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Battleground Eye Care, OD, PAGroup PAC ID 7214903921, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Battleground Eye Care, OD, PA

  • Optometrist
  • Greensboro, NC
  • NPI 1184641813
  Medicare reassignment Care Compare group NPD
• Eyecarecenter OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1750333514
  NPD (past)
• Empire Vision Center Inc

  • Eyewear Supplier
  • Lancaster, PA
  • NPI 1134180987

  Optometrist

  NPD (past)
• Empire Vision Center, Inc

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1659330652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 SILAS CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033031",
            "telephone_number": "336-760-2169",
            "fax_number": "336-760-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 SILAS CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033031",
            "telephone_number": "336-760-2169",
            "fax_number": "336-760-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWIESDAK",
        "first_name": "KELLY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908843",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert A Zoubek, MPT.
• Lynsey Rebecca Zuar, D.O.
• Ainsley Zubrinsky
• Lauren Ashley Zulueta, RN
• Brandon James Zwick, PA
• Matthew P Zwilling
• Tricia Zylstra, FNP

• Optometrist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; 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.