Organization Active NPI

Trillium Vision Care of Zanesville LLC

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1023759263
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TRILLIUM VISION CARE OF ZANESVILLE LLC
Practice address
4051 Northpointe Dr BLDG 7
Zanesville, OH 43701-7647
Phone
(740) 454-6283
NPI assigned
Apr 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Authorized official

Name
Kolby KnoxNPI 1346680576
Title
Member
Phone
(740) 683-8749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

4051 Northpointe Dr BLDG 7
Zanesville, OH 43701-7647

Mailing address

4051 Northpointe Dr BLDG 7
Zanesville, OH 43701-7647

Other practice location 1

1180 Military Rd
Zanesville, OH 43701-1345
Phone (740) 454-6283

Other practice location 2

2315 Maple Ave
Zanesville, OH 43701-2028
Phone (740) 453-1611

Other practice location 3

2008 Maple Ave
Zanesville, OH 43701-2240
Phone (740) 454-8581

Other names 1

  • The Eye Team Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230913000792 OH Part B Supplier - Clinic/Group Practice 0345604161 Receives reassigned benefits from 6 practitioners
Practice locations: Zanesville, OH

National Provider Directory

National Provider Directory

Locations

4051 Northpointe Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 454-6283

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1023759263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 NORTHPOINTE DR BLDG 7",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 NORTHPOINTE DR BLDG 7",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017647",
            "telephone_number": "740-454-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Military Rd",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011345",
            "country_code": "US",
            "telephone_number": "740-454-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012028",
            "country_code": "US",
            "telephone_number": "740-453-1611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2008 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012240",
            "country_code": "US",
            "telephone_number": "740-454-8581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRILLIUM VISION CARE OF ZANESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-03",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "KOLBY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-683-8749"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.