Active NPI
Kristin Elise Oliver Zerwa, OD
- Optometrist
- Saline, MI
National Provider Identifier
1801440854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005396
- Practice address
- 557 E Michigan Ave
Saline, MI 48176-1588 - Phone
- (734) 429-4885
- Fax
- (734) 429-2389
- NPI assigned
- Jul 29, 2019
- Last updated
- Aug 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005396 | MI | Primary |
Addresses
Primary practice location
557 E Michigan Ave
Saline, MI 48176-1588
Mailing address
PO Box 208177
Dallas, TX 75320-8177
Phone (636) 200-4393
Other practice location 1
117 S Main St
Ann Arbor, MI 48104-1902
Phone (734) 665-5306
Other practice location 2
138 W Chicago Blvd
Tecumseh, MI 49286-1553
Phone (517) 423-2148
Other practice location 3
111 S Main St
Ann Arbor, MI 48104-1902
Phone (734) 665-5310
Other practice location 4
2623 Plymouth Rd
Ann Arbor, MI 48105-2468
Phone (734) 930-2373
Other names 1
- Kristin Dzierwa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Illinois College of Optometry at Chicago, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
117 S Main St
Ann Arbor, MI 48104-1902
Phone (734) 665-5306
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005396 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bennett Optometry LLC | Optometrist | Current | Accepting new patients |
| Bennett Optometry LLC | Optometrist | Current | Accepting new patients |
| Bennett Optometry, LLC | Optometrist | Past | Accepting new patients |
Locations
117 S Main St
Ann Arbor, MI 48104
Phone (734) 665-5306
557 E Michigan Ave
Ste A
Saline, MI 48176
Phone (734) 429-2389
Interoperability endpoints
- kristindzierwa@direct.eyecare-partners.com
Organizations & group practices 3
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": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1801440854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208177",
"city": "DALLAS",
"state": "TX",
"postal_code": "753208177",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 E MICHIGAN AVE",
"city": "SALINE",
"state": "MI",
"postal_code": "481761588",
"telephone_number": "734-429-4885",
"fax_number": "734-429-2389"
}
],
"practiceLocations": [
{
"address_1": "117 S Main St",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041902",
"country_code": "US",
"telephone_number": "734-665-5306",
"fax_number": "734-665-5522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "138 W Chicago Blvd",
"address_purpose": "LOCATION",
"city": "Tecumseh",
"state": "MI",
"postal_code": "492861553",
"country_code": "US",
"telephone_number": "517-423-2148",
"fax_number": "517-423-7120",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S Main St",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481041902",
"country_code": "US",
"telephone_number": "734-665-5310",
"fax_number": "734-794-9517",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2623 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481052468",
"country_code": "US",
"telephone_number": "734-930-2373",
"fax_number": "734-930-2390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZERWA",
"first_name": "KRISTIN",
"middle_name": "ELISE OLIVER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-29",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "DZIERWA",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.