Individual provider Active NPI

Zachary Vonderach, O.D.

  • Optometrist
  • Ossining, NY
National Provider Identifier
1013370600
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008776 Issued in NY
Practice address
217 N Highland Ave Apt 1308
Ossining, NY 10562
Phone
(503) 997-6717
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008776 NY Primary

Addresses

Primary practice location

217 N Highland Ave Apt 1308
Ossining, NY 10562

Mailing address

10230 SW Snowgoose PL
Beaverton, OR 97007-8402

Other practice location 1

10230 SW Snowgoose Pl
Beaverton, OR 97007-8402
Phone (503) 997-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010001104 NY Practitioner - Optometry 7113279746 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008776NYMDPsychologist
TUV008776NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Doctors of Optometrist CurrentSince Jul 9, 2019 Accepting new patients
Zlatin Optometrist, PC Optometrist CurrentSince Oct 9, 2018 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

7727 Mall Rd
Ste B
Florence, KY 41042
Phone (859) 282-1751

450 Connector Rd
Georgetown, KY 40324
Phone (502) 316-6490

4135 Fort Campbell Blvd
Hopkinsville, KY 42240
Phone (270) 887-5765

2312 Sir Barton Way
Ste 170
Lexington, KY 40509
Phone (859) 543-8383

3571 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-7323

5224 Dixie Hwy
Louisville, KY 40216
Phone (502) 449-2080

100 W Market St
Louisville, KY 40202
Phone (502) 587-8488

7945 Bardstown Rd
Louisville, KY 40291
Phone (502) 231-4061

4655 Outer Loop
Louisville, KY 40219
Phone (502) 966-2020

13210 Shelbyville Rd
Ste 101
Louisville, KY 40223
Phone (502) 244-9198

5220 Frederica St
Owensboro, KY 42301
Phone (270) 684-1174

3910 Hinkleville Rd
Paducah, KY 42001
Phone (270) 443-2090

2115 Lantern Ridge Dr
Ste U500
Richmond, KY 40475
Phone (859) 625-1004

2007 S Highway 27
Ste A
Somerset, KY 42501
Phone (606) 678-9953

1098 Wilmot Rd
Scarsdale, NY 10583
Phone (914) 472-5932

Networks

  • OH PPO

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1013370600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 SW SNOWGOOSE PL",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N HIGHLAND AVE APT 1308",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "503-997-6717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10230 SW Snowgoose Pl",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970078402",
            "country_code": "US",
            "telephone_number": "503-997-6717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONDERACH",
        "first_name": "ZACHARY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

Verify at the official NPI Registry.