Individual provider Active NPI

Emily Marit Zimmermann, OD

  • Optometrist
  • Middlebury, VT
National Provider Identifier
1972126290
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0133924 Issued in VT
Practice address
91 Main St
Middlebury, VT 05753-1335
Phone
(802) 388-2811
NPI assigned
May 20, 2020
Last updated
May 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0133924 VT Primary

Addresses

Primary practice location

91 Main St
Middlebury, VT 05753-1335

Mailing address

1591 County Road 1575 Apt 4
Ashland, OH 44805-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20200603002978 VT Practitioner - Optometry 1254752082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middlebury Eye Associates IncGroup PAC ID 7517030364, 7 clinicians

Practice addresses (Care Compare)

91 Main St
Middlebury, VT 05753-1335
Phone (802) 388-2811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Middlebury Eye Associates Inc Optometrist CurrentSince May 1, 2020 Accepting new patients

Locations

91 Main St
Middlebury, VT 05753
Phone (802) 388-2811

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, 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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1972126290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1591 COUNTY ROAD 1575 APT 4",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448058300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 MAIN ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531335",
            "telephone_number": "802-388-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "EMILY",
        "middle_name": "MARIT",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

Verify at the official NPI Registry.