Individual provider Active NPI

Julie Yi Zysik, O.D.

  • Optometrist
  • Perrysburg, OH
National Provider Identifier
1811981301
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4998/T1868 Issued in OH
Practice address
850 Commerce Dr
Perrysburg, OH 43551-5240
Phone
(419) 872-4477
Fax
(419) 872-6555
NPI assigned
Sep 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4998/T1868 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 4998/T1868 OH

Addresses

Primary practice location

850 Commerce Dr
Perrysburg, OH 43551-5240

Mailing address

850 Commerce Dr
Perrysburg, OH 43551-5240
Phone (419) 872-4477

Other identifiers 1

IdentifierTypeStateIssuer
1277092OtherOHBWC RISK POLICY #

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
I20100607000008 OH Practitioner - Optometry 5991721193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

33541 Aurora Rd
Solon, OH 44139-3705
Phone (440) 248-2020

850 Commerce Dr
Perrysburg, OH 43551-5240
Phone (419) 872-4477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Oct 1, 2020 Accepting new patients

Locations

850 Commerce Dr
Perrysburg, OH 43551
Phone (419) 872-4477

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

3723 King Rd
Ste 100
Toledo, OH 43617
Phone (419) 843-2020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1811981301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515240",
            "telephone_number": "419-872-4477",
            "fax_number": "419-872-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515240",
            "telephone_number": "419-872-4477",
            "fax_number": "419-872-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYSIK",
        "first_name": "JULIE",
        "middle_name": "YI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4998/T1868",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "4998/T1868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC RISK POLICY #",
            "identifier": "1277092",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.