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DR. MICHAEL ZWOLINSKI
NPI 1003944703
Optometrist in St Augustine, FL

Active since March 02, 2007PECOS EnrolledAccepts Medicare Assignment
1815 US HIGHWAY 1 S, ST AUGUSTINE, FL 32084(904) 547-2594(904) 547-2644 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Zwolinski NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL ZWOLINSKI (NPI 1003944703) is an individual optometrist in St Augustine, Florida, licensed in Florida (OPC2730) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1987).

NPPES Registry Identity

NPI1003944703
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL ZWOLINSKI
Location Address1815 US HIGHWAY 1 SSt Augustine, FL 32084-4240
Mailing Address312 2nd StSt Augustine, FL 32084-7307 · (904) 794-1085
Phone(904) 547-2594
Fax(904) 547-2644
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1987
Enumeration DateMarch 2, 2007
Last NPPES UpdateJune 14, 2023
NPPES CertifiedJune 14, 2023
✔ NPI 1003944703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC2730
Definition
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.
1815 US HIGHWAY 1 S, St Augustine, FL 32084
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Other Identifiers 8

Other593549151FL · Cigna
Other03492FL · Spectera
Other2784940FL · Aetna
Other20566FL · Blue Cross & Blue Shield
Medicaid620958100FL
Other593549151FL · United Healthcare
Other410042741FL · Palmetto Gba
Other593549151FL · Humana

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Zwolinski is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284800806
PECOS Enrollment IDI20120104000092
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
646 services565 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
443 services412 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
140 services90 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
119 services119 patients
Removal of eyelashes using forceps 67820
The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.
49 services42 patients
Fitting of contact lens for management of corneal condition 92072
Fitting contact lenses for a corneal condition involves placing a specially designed lens on your eye to improve vision or protect the cornea. This process is tailored to your specific needs and helps manage a variety of corneal conditions, ensuring better eye health and comfort.
24 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Zwolinski's NPI number?

The NPI number for Michael Zwolinski is 1003944703. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Michael Zwolinski located?

Michael Zwolinski practices at 1815 Us Highway 1 S, St Augustine, FL 32084. The listed phone number is (904) 547-2594.

What is Michael Zwolinski's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Michael Zwolinski enrolled in Medicare?

Yes. Michael Zwolinski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Zwolinski accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Michael Zwolinski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Zwolinski was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.