DR. ALICIA T ZIMNICKI (NPI# 1114031911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114031911 |
| Entity Type | Individual |
| Full Name | DR. ALICIA T ZIMNICKI |
| Credential | OD |
| Practice Address |
23469 Michigan Avenue Dearborn MI 48124 |
| Practice Telephone | 3135655600 |
| Practice Fax Number | 3135623000 |
| Mailing Telephone | 3135655600 |
| Mailing Fax Number | 3135623000 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2011-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004377 | MI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE NUMBER | 4901004377 | 01 |
| MI | MEDICARE ID TYPE | P09490 | 01 |
| Street Address |
23469 MICHIGAN AVENUE |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508970310 | Fortney Eyecare Associates Inc | Optometrist | 23469 Michigan Avenue, Dearborn, MI 48124 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336403575 | Lulu Mounir Massri | Optometrist | 7415 Manor St, Dearborn, MI 48126-1503 | 2012-07-03 |
| 1922239987 | Kamal A Chaaban | Optometrist | 7100 Oakman Blvd, Dearborn, MI 48126-1829 | 2009-08-06 |
| 1386731511 | Michael Younes Od PC | Optometrist | 13900 Michigan Ave, Dearborn, MI 48126-3523 | 2006-10-09 |
| 1275503856 | Baseem Wahab | Optometrist | 22137 Michigan Ave, Dearborn, MI 48124-2204 | 2006-01-25 |
| 1679552525 | Cindy Wang | Optometrist | 15212 Michigan Ave, Dearborn, MI 48126-3497 | 2006-01-10 |
| 1225020043 | Manijeh Shafiemir | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2005-08-17 |
| 1811509649 | Ali H. Nasrallah | Optometrist | 5250 Auto Club Dr, Dearborn, MI 48126-2619 | 2020-08-21 |
| 1831758358 | Bashir D Tarraf | Optometrist | 13530 Michigan Ave, Dearborn, MI 48126-3574 | 2019-06-08 |
| 1649758640 | Jessica Saraan | Optometrist | 23469 Michigan Ave, Dearborn, MI 48124 | 2018-08-01 |
| 1821542044 | Shannon Crane | Optometrist | 5500 Auto Club Dr, Dearborn, MI 48126-2779 | 2016-08-04 |
| Find all providers in DEARBORN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.