Active NPI
Brian Zembower, O.D.
- Optometrist
- Phoenix, AZ
National Provider Identifier
1922490382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002257
- Practice address
- 610 E Baseline Rd Ste C3
Phoenix, AZ 85042 - Phone
- (602) 269-9771
- NPI assigned
- Feb 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6421 | OH | |
| Optometrist | 152W00000X | OPT-002257 | AZ | Primary |
Addresses
Primary practice location
610 E Baseline Rd Ste C3
Phoenix, AZ 85042
Mailing address
220 N McKemy Ave
Chandler, AZ 85226-2651
Phone (480) 961-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3106
Phone (602) 953-3339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6421 | OH | MD | Clinical Psychologist |
| OPT-002257 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millennium Vision Inc | Optometrist | Current | Accepting new patients |
Locations
2020 N Central Ave
Ste 1100
Phoenix, AZ 85004
Phone (623) 236-1999
18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966
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": "1424649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1922490382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MCKEMY AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262651",
"telephone_number": "480-961-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 E BASELINE RD STE C3",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85042",
"telephone_number": "602-269-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEMBOWER",
"first_name": "BRIAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-23",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6421",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.