Individual provider Active NPI

Mary Kathryn P F Zak, O.D.

  • Optometrist
  • Martinsville, VA
National Provider Identifier
1821543836
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002526 Issued in VA
Practice address
1975 Virginia Ave
Martinsville, VA 24112-8388
Phone
(276) 647-3937
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedrichs Family Eye Center PC 7 clinicians

Practice addresses (Care Compare)

1975 Virginia Ave
Martinsville, VA 24112-8388
Phone (276) 647-3937

Merit-based Incentive Payment System (MIPS)

Final score
89.17 of 100Reported as individual
Quality
81.4
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20161101001395 VA Practitioner - Optometry 2365720075 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 1, 2016 Accepting new patients
Friedrichs Family Eye Center PC Optometrist Current Accepting new patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 1, 2016 Accepting new patients

Locations

723 Piney Forest Rd
Danville, VA 24540
Phone (434) 797-2828

1975 Virginia Ave
Martinsville, VA 24112
Phone (276) 647-3937

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002526 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

1975 Virginia Ave
Martinsville, VA 24112-8388

Mailing address

249 Robinwood PL
Danville, VA 24540-6301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2016.

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1821543836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 ROBINWOOD PL",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245406301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VIRGINIA AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128388",
            "telephone_number": "276-647-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "MARY KATHRYN",
        "middle_name": "P F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.