Individual provider Active NPI

Warren Zimmerman, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1679520084
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV3510 Issued in NY
Practice address
344 3Rd Ave
New York, NY 10010-2331
Phone
(212) 679-9690
Fax
(212) 779-8406
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV3510 NY Primary

Addresses

Primary practice location

344 3Rd Ave
New York, NY 10010-2331

Mailing address

344 3Rd Ave
New York, NY 10010-2331
Phone (212) 679-9690

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
I20130318000109 NY Practitioner - Optometry 4486776895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kips Bay Optical LTDGroup PAC ID 5597110502, 3 clinicians

Practice addresses (Care Compare)

608 2ND Ave
New York, NY 10016-4859
Phone (212) 686-1653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003510NYMDMental Health Counselor
TUV3510NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Optical LTD Optometrist CurrentSince Mar 16, 2024 Accepting new patients
Rye Eye Care OD PLLC Optometrist PastSince Mar 16, 2024 Accepting new patients

Locations

608 2nd Ave
New York, NY 10016
Phone (212) 686-1653

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1679520084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102331",
            "telephone_number": "212-679-9690",
            "fax_number": "212-779-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102331",
            "telephone_number": "212-679-9690",
            "fax_number": "212-779-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.