Individual provider Active NPI

Philip Ronald Zitko, O.D.

  • Optometrist
  • Shelby, OH
National Provider Identifier
1801903968
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4329 Issued in OH
Practice address
76 W Main St
Shelby, OH 44875-1206
Phone
(419) 347-1445
Fax
(419) 347-8403
NPI assigned
Aug 24, 2006
Last updated
Aug 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4329 OH Primary

Addresses

Primary practice location

76 W Main St
Shelby, OH 44875-1206

Mailing address

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Other identifiers 1

IdentifierTypeStateIssuer
0844626MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philipzitko@ohioeye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111108000397 OH Practitioner - Optometry 0244345619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Eye Optometric LLCGroup PAC ID 7012144876, 11 clinicians

Practice addresses (Care Compare)

466 S Trimble Rd
Mansfield, OH 44906-3416
Phone (419) 756-8000

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
88.3
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winbigler & Zitko Optometrists LTD Optometrist Current Accepting new patients
Ohio Eye Optometric, LLC Optometrist CurrentSince Jun 8, 2015 Accepting new patients
Ohio Eye Optometric LLC Optometrist CurrentSince Jun 8, 2015 Accepting new patients
Ohio Eye Optometric, LLC Optometrist Past Accepting new patients

Locations

129 S Walnut St
Bucyrus, OH 44820
Phone (419) 560-4503

466 S Trimble Rd
Mansfield, OH 44906
Phone (419) 756-8000

58 W High St
Mount Gilead, OH 43338
Phone (419) 756-8000

38 Sandusky St
Plymouth, OH 44865
Phone (419) 687-6791

76 W Main St
Shelby, OH 44875
Phone (419) 347-1445

Interoperability endpoints

  • Direct secure messaging: philipzitko@ohioeye.intellechartdirect.net

Organizations & group practices 4

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1801903968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 S TRIMBLE RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063416",
            "telephone_number": "419-756-8000",
            "fax_number": "419-756-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751206",
            "telephone_number": "419-347-1445",
            "fax_number": "419-347-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITKO",
        "first_name": "PHILIP",
        "middle_name": "RONALD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0844626",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philipzitko@ohioeye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "76 W Main St",
            "city": "Shelby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448751206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

Verify at the official NPI Registry.