Organization Active NPI

Delma F Zardo OD a Professional Optometric Corporation

  • Optometrist
  • Modesto, CA
National Provider Identifier
1811599046
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DELMA F ZARDO OD A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
810 Standiford Ave Ste 4
Modesto, CA 95350-0977
Phone
(209) 524-7870
Fax
(209) 524-7985
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Dr. Delma F Zardo, ODNPI 1306861612
Title
Owner
Phone
(209) 605-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

810 Standiford Ave Ste 4
Modesto, CA 95350-0977

Mailing address

2421 Kiska Dr
Modesto, CA 95355-7913
Phone (209) 605-0442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210108000502 CA Part B Supplier - Clinic/Group Practice 5294148433 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

810 Standiford Ave
Ste 4
Modesto, CA 95350
Phone (209) 524-7870

1317 Oakdale Rd
Ste 620
Modesto, CA 95355
Phone (209) 524-7870

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1811599046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 KISKA DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953557913",
            "telephone_number": "209-605-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 STANDIFORD AVE STE 4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500977",
            "telephone_number": "209-524-7870",
            "fax_number": "209-524-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMA F ZARDO OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "ZARDO",
        "authorized_official_first_name": "DELMA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-605-0442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.