Active NPI
Zachary Vonderach, O.D.
- Optometrist
- Ossining, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008776
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008776 | NY | MD | Psychologist |
| TUV008776 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Doctors of | Optometrist | Current | Accepting new patients |
| Zlatin Optometrist, PC | Optometrist | Current | 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.
-
- Optometrist
- Scarsdale, NY
- NPI 1306096169
-
- Eyewear Supplier
- Louisville, KY
- NPI 1417384207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.