MEDICARE: DR. PAUL ZERBINOPOULOS OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	ODTG00416	RI
2	152W00000X	Optometrist	3465	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	410033236	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	720107301	OTHER		CIGNA
2	004525	OTHER		BLUE CHIP
3	0550437	OTHER		AETNA HMO
5	R001038	OTHER		TRICARE
6	5921076	OTHER		AETNA NONHMO
7	2200244	OTHER	RI	UNITED HEALTHCARE
8	324	OTHER	RI	BLUE CROSS BLUE SHIELD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	2853	OTHER		NEIGHBORHOOD HEALTH
11	050369447	OTHER		VISION SERVICE PLAN

General Provider Information

NPI Number	:	1154375418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL ZERBINOPOULOS OD

Provider Business Mailing Address
First Line	:	55 VILLAGE SQUARE DR
Second Line	:
City	:	SOUTH KINGSTOWN
State	:	RI
Zip	:	02879-8274
Country	:	US
Telephone Number	:	401-272-2020
Fax Number	:	401-789-4113

Provider Business Practice Location Address
First Line	:	55 VILLAGE SQUARE DR
Second Line	:
City	:	SOUTH KINGSTOWN
State	:	RI
Zip	:	02879-8274
Country	:	US
Telephone Number	:	401-272-2020
Fax Number	:	401-789-4113

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	01/16/2015

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Directions to “ DR. PAUL ZERBINOPOULOS OD” Practice Location

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