Jennifer Smith Zolman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1413 Issued in SC

Practice address

1470 Tobias Gadson Blvd
Suite 115
Charleston, SC 29407-4707

Phone

(843) 556-2020

Fax

(843) 763-3937

NPI assigned

Apr 18, 2007

Last updated

Nov 6, 2012By the provider in NPPES

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

Other names 1

• Dr. Jennifer Marie Smith Former name

Medicare fee-for-service enrollment

Enrolled in SC

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Draisin Vision Group PAGroup PAC ID 8123102563, 7 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Draisin Vision Group PA

  • Optometrist
  • Charleston, SC
  • NPI 1174726210
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1730305434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80817",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294160817",
            "telephone_number": "843-556-2020",
            "fax_number": "843-763-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 TOBIAS GADSON BLVD",
            "address_2": "SUITE 115",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074707",
            "telephone_number": "843-556-2020",
            "fax_number": "843-763-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "JENNIFER",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC OPTOMETRIC LICENSE",
            "identifier": "SC1413",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Emrath Zivick, M.D.
• Haley Zlomke
• Joshua Zola, PHD,NCSP,CBIS,LPES
• Morris David Zolet, MD
• Eric Stafford Zollars, MD,PHD
• Michael Wayne Zolman, O.D.
• Ping Zou, LMT
• Natalie Zuffi, D.D.S.
• Alicia Marie Zukas, MD
• Rachael Zweigoron, M.D.

• Optometrist in Charleston, SC
• Providers in Charleston, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.