Individual provider Active NPI

Zachary Nobles, OD

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1023186178
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1918 Issued in NC
Practice address
330 Four Seasons Town Ctr
Greensboro, NC 27407-4758
Phone
(336) 854-1290
NPI assigned
Nov 30, 2006
Last updated
Oct 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1918 NC Primary

Addresses

Primary practice location

330 Four Seasons Town Ctr
Greensboro, NC 27407-4758

Mailing address

330 Four Seasons Town Ctr
Greensboro, NC 27407-4758
Phone (336) 854-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080311000404 NC Practitioner - Optometry 1557275427 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2376COMDMental Health Counselor
1918NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Feb 24, 2024 Accepting new patients
NC Doctors of Optometry PLLC Optometrist CurrentSince Feb 24, 2024 Accepting new patients

Locations

3700 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 852-6664

1011 S Main St
Kernersville, NC 27284
Phone (336) 993-0461

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1023186178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FOUR SEASONS TOWN CTR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074758",
            "telephone_number": "336-854-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 FOUR SEASONS TOWN CTR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074758",
            "telephone_number": "336-854-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.