Individual provider Active NPI

Max Arthur Paschall-Zimbel, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1750994059
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TVP009173 Issued in NY
Practice address
125 E Fordham Rd
Bronx, NY 10468-5404
Phone
(718) 329-2020
Fax
(718) 561-0616
NPI assigned
Aug 26, 2020
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TVP009173 NY Primary

Addresses

Primary practice location

125 E Fordham Rd
Bronx, NY 10468-5404

Mailing address

125 E Fordham Rd
Bronx, NY 10468-5404
Phone (718) 329-2020

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
I20210202000434 NY Practitioner - Optometry 2062826175 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 E Fordham Rd
Bronx, NY 10468-5404
Phone (718) 329-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TVP009173NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lens Lab Express of Graham Avenue Inc Optometrist CurrentSince Jul 16, 2023 Accepting new patients
Lens Lab Express of Fordham Road Inc Optometrist CurrentSince Apr 1, 2022 Accepting new patients

Locations

125 E Fordham Rd
Bronx, NY 10468
Phone (516) 864-6298

28 Graham Ave
Brooklyn, NY 11206
Phone (718) 486-0117

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

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1750994059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685404",
            "telephone_number": "718-329-2020",
            "fax_number": "718-561-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104685404",
            "telephone_number": "718-329-2020",
            "fax_number": "718-561-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHALL-ZIMBEL",
        "first_name": "MAX",
        "middle_name": "ARTHUR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-26",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TVP009173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.