Individual provider Active NPI

Michal Szymon Zylinski, O.D.

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1891137212
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008022 Issued in NY
Practice address
1884 Victory Blvd
Staten Island, NY 10314-3514
Phone
(718) 273-5000
NPI assigned
Jul 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008022 NY
Optometrist 152W00000X TUV008022 NY Primary

Addresses

Primary practice location

1884 Victory Blvd
Staten Island, NY 10314-3514

Mailing address

128 Rustic PL
Staten Island, NY 10308-2840
Phone (718) 371-8228

Other practice location 1

2935 Veterans Rd W Ste D
Staten Island, NY 10309-2514
Phone (718) 967-2869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160401001577 NY Practitioner - Optometry 1557668704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008022NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Eye Works, Inc Optometrist CurrentSince May 13, 2023 Accepting new patients

Locations

1884 Victory Blvd
Staten Island, NY 10314
Phone (646) 643-5951

Organizations & group practices 1

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1891137212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 RUSTIC PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082840",
            "telephone_number": "718-371-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143514",
            "telephone_number": "718-273-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2935 Veterans Rd W Ste D",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103092514",
            "country_code": "US",
            "telephone_number": "718-967-2869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZYLINSKI",
        "first_name": "MICHAL",
        "middle_name": "SZYMON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-26",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008022",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.