Jonathan Szczerba, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004345A Issued in IN

Practice address

3409 N Anthony Blvd
Fort Wayne, IN 46805-2233

Phone

(260) 484-2691

Fax

(260) 484-2691

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Frey Vision Group of Indiana IncGroup PAC ID 3779868203, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frey Vision Group of Indiana Inc

  • Optometrist
  • Fort Wayne, IN
  • NPI 1699109256
  Medicare reassignment Care Compare group NPD
• Longe Enterprises Corp

  dba Longe Optical

  • Eyewear Supplier
  • Fort Wayne, IN
  • NPI 1083294532
  NPD (past)

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1720714470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 N ANTHONY BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468052233",
            "telephone_number": "260-484-2691",
            "fax_number": "260-484-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZCZERBA",
        "first_name": "JONATHAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004345A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sykes Home Care, LLC
• Anna Sylvester, RD, LD
• Symphony Diagnostic Services No 1 LLC (MobilexUSA)
• Synergy Health Home Care and Recovery LLC
• Amanda Sytsma
• Ellen Szwed, D.O.
• Margaret Kerwin Szymanski
• Jenna A. Szymialis, AU.D.
• T Love Home Care Services, LLC
• T-Med Services, Inc

• Optometrist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.