Andrea M Zimmerman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005059-1 Issued in NY

Practice address

250 W 64TH St FL 3
New York, NY 10023-6402

Phone

(212) 769-6313

Fax

(212) 769-7825

NPI assigned

Jul 6, 2006

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

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JGB Rehabilitation CorporationGroup PAC ID 5092606533, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zimmermana@lighthouseguild.direct.welligent.com

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.

• JGB Rehabilitation Corporation

  • Clinic/Center
  • New York, NY
  • NPI 1033123039
  Medicare reassignment Care Compare group NPD
• JGB Mental Health & Mental Retardation Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1255345245
  NPD
• Brooklyn Bridge Vision Associates Incorporated

  • Optician
  • Brooklyn, NY
  • NPI 1730216011
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1760414569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 64TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236402",
            "telephone_number": "212-769-6313",
            "fax_number": "212-769-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 64TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236402",
            "telephone_number": "212-769-6313",
            "fax_number": "212-769-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ANDREA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005059-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Alexandra Zimmer
• Jerald Zimmer, M.D.
• Richard Baylor Zimmer, M.D.
• Alexis Leann Zimmerman, LMSW
• Allison Curtis Zimmerman, MS, MPH, RN
• Carrie Zimmerman, OTR/L
• Christina Zimmerman, OTR/L
• Daniel Jason Zimmerman, MD
• Douglas Zimmerman
• Emily Joy Zimmerman

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.