Individual provider Active NPI

Zachary Mackay Tlumak, OD

  • Optometrist
  • West Haven, CT
National Provider Identifier
1881257004
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3121 Issued in CT
Practice address
950 Campbell Ave
West Haven, CT 06516-2770
Phone
(203) 932-5711
NPI assigned
Apr 15, 2019
Last updated
Jan 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004113 PA
Optometrist 152W00000X 3121 CT Primary

Addresses

Primary practice location

950 Campbell Ave
West Haven, CT 06516-2770

Mailing address

163 Broadway St
Colchester, CT 06415-1022
Phone (860) 537-2020

Other practice location 1

163 Broadway St
Colchester, CT 06415-1022
Phone (860) 537-2020

Other practice location 2

34 Main St
Hebron, CT 06248-1515
Phone (860) 228-2020

Other practice location 3

1098 W Baltimore Pike Ste 3407
Media, PA 19063-5139
Phone (610) 566-7127

Other practice location 4

2010 W Chester Pike Ste 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240304000008 PA Practitioner - Optometry 5092132860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard L Jahnle MD PCGroup PAC ID 0244492882, 6 clinicians

Practice addresses (Care Compare)

2010 W Chester Pike
Wellness Center Suite 310
Havertown, PA 19083-2737
Phone (610) 446-2260

Merit-based Incentive Payment System (MIPS)

Final score
99.48 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
98.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004113PAMDOptometrist
3121CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Jahnle MD PC Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Domenick Braccia D.O. PastSince Apr 1, 2024 Accepting new patients

Locations

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

1098 W Baltimore Pike
Ste 3407
Media, PA 19063
Phone (610) 446-2260

Interoperability endpoints

  • Direct secure messaging: ztlumak@jahnleeye.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1881257004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 BROADWAY ST",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151022",
            "telephone_number": "860-537-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162770",
            "telephone_number": "203-932-5711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Colchester",
            "state": "CT",
            "postal_code": "064151022",
            "country_code": "US",
            "telephone_number": "860-537-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Main St",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "CT",
            "postal_code": "062481515",
            "country_code": "US",
            "telephone_number": "860-228-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1098 W Baltimore Pike Ste 3407",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635139",
            "country_code": "US",
            "telephone_number": "610-566-7127",
            "fax_number": "610-566-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 W Chester Pike Ste 310",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832737",
            "country_code": "US",
            "telephone_number": "610-446-2260",
            "fax_number": "610-446-3360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TLUMAK",
        "first_name": "ZACHARY",
        "middle_name": "MACKAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004113",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.