Gene W Zdenek a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

C39161 Issued in CA

Legal business name

GENE W ZDENEK A MEDICAL CORPORATION

Practice address

7012 Reseda Blvd
Suite B
Reseda, CA 91335-4219

Phone

(818) 708-2222

Fax

(818) 342-3937

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Zdenek

Title

Manager

Phone

(818) 708-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zdenek Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gene W Zdenek a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optical Reflections

  • Ophthalmology Physician
  • Reseda, CA
  • NPI 1538588041
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gene Wayne Zdenek, M.D.

  • Ophthalmology Physician
  • Reseda, CA
  • NPI 1326104514
  Medicare reassignment

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1972774917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD",
            "address_2": "SUITE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-708-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 RESEDA BLVD",
            "address_2": "SUITE B",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354219",
            "telephone_number": "818-708-2222",
            "fax_number": "818-342-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE W ZDENEK A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "ZDENEK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "818-708-2222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C39161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C391610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zdenek Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Reseda, CA
• Providers in Reseda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.