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DR. JEFFREY THOMAS ZIGULIS O.D.
NPI 1619920535
Optometrist in Waterville, OH

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
1073 PRAY BLVD, WATERVILLE, OH 43566(567) 952-2020(567) 952-2142 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2022, May 19, 2016 (2 updates tracked since 2016).

About Dr. Jeffrey Thomas Zigulis O.d. NPPES

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

DR. JEFFREY THOMAS ZIGULIS O.D. (NPI 1619920535) is an individual optometrist in Waterville, Ohio, licensed in Ohio (4816/T1681) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1993).

NPPES Registry Identity

NPI1619920535
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEFFREY THOMAS ZIGULISCredential: O.D.
Location Address1073 PRAY BLVDWaterville, OH 43566-8712
Mailing Address1073 Pray BlvdWaterville, OH 43566-8712 · (567) 952-2020 · Fax (567) 952-2142
Phone(567) 952-2020
Fax(567) 952-2142
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1993
Enumeration DateMay 19, 2006
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1619920535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in OH · 4816/T1681✔ Licensed in MI · 4901003971
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.
1073 PRAY BLVD, Waterville, OH 43566
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Other Identifiers 1

Other0P10040MI · Medicare Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Jeffrey Thomas Zigulis O.d. 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 ID1052362951
PECOS Enrollment IDI20120613000158
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 6

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.
53 services51 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.
30 services30 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.
26 services26 patients
Measurement of retinal and optic nerve function 92273
This procedure checks the health of your eyes, specifically the retina and optic nerve. These parts help in visual interpretation. The test involves non-invasive techniques to measure your eye's response to light and assess its functioning.
17 services16 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
16 services14 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.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43566 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON NICOLE SMITH OD
Optometrist
1073 PRAY BLVD
WATERVILLE, OH 43566
Lucas County (567) 952-2020

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 Jeffrey Zigulis's NPI number?

The NPI number for Jeffrey Zigulis is 1619920535. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Jeffrey Zigulis located?

Jeffrey Zigulis practices at 1073 Pray Blvd, Waterville, OH 43566. The listed phone number is (567) 952-2020.

What is Jeffrey Zigulis's specialty?

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

Is Jeffrey Zigulis enrolled in Medicare?

Yes. Jeffrey Zigulis 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 Jeffrey Zigulis accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Jeffrey Zigulis 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 Jeffrey Zigulis was last updated on December 27, 2022. 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.