Dmitriy Zike

Primary specialty

OptometristTaxonomy code 152W00000X

License

9044TG Issued in TX

Practice address

5535 W Loop 1604 N
Suite 104
San Antonio, TX 78253-7316

Phone

(210) 688-9272

Fax

(210) 688-9343

NPI assigned

Jul 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, IA2 enrollments

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 2

Specialty

Optometry

Education

University of the Incarnate Word School of Osteo Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Partners PCGroup PAC ID 0749170850, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyecare Partners, P.C.

  • Optometrist
  • Pella, IA
  • NPI 1225093735
  Medicare reassignment Care Compare group NPD
• Shini OD PA

  dba EyeTrends

  • Optometrist
  • College Station, TX
  • NPI 1083862213
  Medicare reassignment NPD
• Eyecare Partners, P.C.

  • Optometrist
  • West Des Moines, IA
  • NPI 1770144941
  NPD

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1861844615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 W LOOP 1604 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537316",
            "telephone_number": "210-688-9272",
            "fax_number": "210-688-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 W LOOP 1604 N",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537316",
            "telephone_number": "210-688-9272",
            "fax_number": "210-688-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKE",
        "first_name": "DMITRIY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9044TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sania Zia, MD
• Betty Alesia Zickefoose, BSN
• Menat-Allah M. Zihni
• Zikam Neighborhood Pharmacy LLC (Zikam Neighborhood Pharmacy)
• Abigail Marie Zike, O.D.
• Irina Zilberfayn, PHD
• Melissa L Zilbert, DDS
• Diane M Ziliox, APRN, FNP-C
• Bethany L Zimbicki, RD
• Amanda Leigh Zimmerman, PHARMD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.

Verify at the official NPI Registry.