Individual provider Active NPI

Diane Marie Zelinka, OD

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1952469199
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1346 Issued in MD
Practice address
2500 Grubb Rd
Suite 234
Wilmington, DE 19810-4799
Phone
(302) 475-6500
Fax
(302) 475-9528
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1346 MD Primary

Addresses

Primary practice location

2500 Grubb Rd
Suite 234
Wilmington, DE 19810-4799

Mailing address

2500 Grubb Rd
Suite 234
Wilmington, DE 19810-4799
Phone (302) 475-6500

Other names 1

  • Diane Marie Jupiter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1346MDMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1952469199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD",
            "address_2": "SUITE 234",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104799",
            "telephone_number": "302-475-6500",
            "fax_number": "302-475-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD",
            "address_2": "SUITE 234",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104799",
            "telephone_number": "302-475-6500",
            "fax_number": "302-475-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELINKA",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "JUPITER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.