Organization Active NPI

Cushing Vision Center PC

  • Optometrist
  • Cushing, OK
National Provider Identifier
1871804138
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CUSHING VISION CENTER PC
Practice address
2013 E Main St
Cushing, OK 74023-2910
Phone
(918) 225-5565
Fax
(918) 225-5656
NPI assigned
Jul 1, 2010
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Dr. Jessica Fielding Zwanziger, O.D.NPI 1578793626
Title
Optometrist
Phone
(918) 225-5565

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

2013 E Main St
Cushing, OK 74023-2910

Mailing address

2013 E Main St
Cushing, OK 74023-2910
Phone (918) 225-5565

Other identifiers 1

IdentifierTypeStateIssuer
200332870AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110428000282 OK Part B Supplier - Clinic/Group Practice 7315122777 Receives reassigned benefits from 2 practitioners
Practice locations: Cushing, OK
O20120928000691 OK DME Supplier - Physician - Optometrist 7315122777 Practice locations: Cushing, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Cushing Vision Center, PC2013 E Main St, Cushing, OK 74023-2910(918) 225-5565 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jun 22, 2011

National Provider Directory

National Provider Directory

Locations

2013 E Main St
Cushing, OK 74023
Phone (918) 223-6621

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1871804138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232910",
            "telephone_number": "918-225-5565",
            "fax_number": "918-225-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740232910",
            "telephone_number": "918-225-5565",
            "fax_number": "918-225-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSHING VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "ZWANZIGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "FIELDING",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-225-5565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200332870A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cushing, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.