DR. KYRILLOS ZAKI OD
NPI 1215718804
Optometrist in Redlands, CA
About Dr. Kyrillos Zaki Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KYRILLOS ZAKI OD (NPI 1215718804) is an individual optometrist in Redlands, California, licensed in California (35601) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kyrillos Zaki Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kyrillos Zaki reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fontana, CA 92337
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Tedder Optometric Clinic Management, PC
- 10 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kyrillos Zaki's NPI number?
The NPI number for Kyrillos Zaki is 1215718804. It was assigned to this individual provider in the NPPES registry on October 10, 2023.
Where is Kyrillos Zaki located?
Kyrillos Zaki practices at 27514 W Lugonia Ave, Redlands, CA 92374. The listed phone number is (857) 284-9441.
What is Kyrillos Zaki's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Kyrillos Zaki enrolled in Medicare?
Yes. Kyrillos Zaki is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kyrillos Zaki's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyrillos Zaki reassigns Medicare benefits to Tedder Optometric Clinic Management, P.C. (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyrillos Zaki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyrillos Zaki accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Kyrillos Zaki 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 Kyrillos Zaki was last updated on October 10, 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.
# Dr. Kyrillos Zaki, OD · NPI 1215718804
Optometrist provider in Redlands, California. Individual provider, active in the CMS NPPES registry since October 10, 2023.
## Identity
- **NPI:** 1215718804 (Entity type: Individual)
- **Enumerated:** October 10, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35601 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 27514 W LUGONIA AVE, Redlands, CA 92374-1409
- **Phone:** (857) 284-9441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Tedder Optometric Clinic Management, P.C. (NPI 1851091805, Fontana, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1215718804) · Data from the CMS NPPES public registry.