Individual provider Active NPI

Gabriel Zelaya, OD

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1013588359
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002506 Issued in AZ
Practice address
6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone
(520) 797-8000
NPI assigned
Jul 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 002506 AZ Primary

Addresses

Primary practice location

6615 N Oracle Rd
Tucson, AZ 85704-5644

Mailing address

6615 N Oracle Rd
Tucson, AZ 85704-5644
Phone (520) 797-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210726000144 AZ Practitioner - Optometry 9830592161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Eye Care PCGroup PAC ID 4183715378, 8 clinicians

Practice addresses (Care Compare)

4709 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 731-5500

Merit-based Incentive Payment System (MIPS)

Final score
94.15 of 100Reported as group
Quality
100
Improvement activities
40
Cost
80.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002506AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Eye Care, PC Single Specialty CurrentSince Dec 30, 2022 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jun 20, 2021 Accepting new patients

Locations

13125 N La Montana Dr
Ste 1
Fountain Hls, AZ 85268
Phone (480) 816-0102

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

4709 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 722-4700

Interoperability endpoints

  • Direct secure messaging: gjzelaya@tucsoneyecare.direct.eyemdemr.com

Organizations & group practices 2

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1013588359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045644",
            "telephone_number": "520-797-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045644",
            "telephone_number": "520-797-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELAYA",
        "first_name": "GABRIEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "002506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.