Active NPI
Victoria Leigh Dzurinko, O.D.
- Optometrist
- Deptford, NJ
National Provider Identifier
1679673958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OA000658900
- Practice address
- 1710 Clements Bridge Rd
Deptford, NJ 08096-2010 - Phone
- (856) 537-7214
- Fax
- (856) 579-4354
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OM00132800 | NJ | |
| Optometrist | 152W00000X | NH0786 | NH | |
| Optometrist | 152W00000X | 4666 | MA | |
| Optometrist | 152W00000X | OE000344G | PA | |
| Optometrist | 152W00000X | I3-0001407 | DE | |
| Optometrist | 152W00000X | OA000658900 | NJ | Primary |
Addresses
Primary practice location
1710 Clements Bridge Rd
Deptford, NJ 08096-2010
Mailing address
PO Box 5401
Deptford, NJ 08096-0401
Phone (412) 994-0506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH0786 | Other | NH | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 Route 168
Suite 409 410
Blackwood, NJ 08012-3210
Phone (856) 408-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA000658900 | NJ | MD | Optometrist |
| OM00132800 | NJ | MD | Optometrist |
| OE000344G | PA | MD | Optometrist |
| 4666 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Massachusetts Professional PC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Blackwood, NJ
- NPI 1003601287
-
- Optometrist
- Andover, MA
- NPI 1952035040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1679673958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5401",
"city": "DEPTFORD",
"state": "NJ",
"postal_code": "080960401",
"telephone_number": "412-994-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 CLEMENTS BRIDGE RD",
"city": "DEPTFORD",
"state": "NJ",
"postal_code": "080962010",
"telephone_number": "856-537-7214",
"fax_number": "856-579-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZURINKO",
"first_name": "VICTORIA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OM00132800",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "NH0786",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4666",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE000344G",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0001407",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "OA000658900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "NH0786",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deptford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.