Zaccary John E Pincock, OD
Individual provider Active NPI Optometrist · Fircrest, WA
NPI 1063064541 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1063064541
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT714 (NM)
- Practice address
- 6314 19TH St W Ste 1
Fircrest, WA 98466-6223 - Phone
- (253) 566-2020
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spencer Garlick Optometry PLLC
Practice addresses (Care Compare)
10219 196TH St CT E
Suite 1
Graham, WA 98338-7935
Phone (253) 271-7313
6314 19TH St W
Suite 1
Fircrest, WA 98466-6223
Phone (253) 566-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220317002689 | WA | Practitioner - Optometry | 9537499108 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD61246749 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Vision Family PLLC | Optometrist | Current |
Accepting new patients |
| Spencer Garlick Optometry, PLLC | Optometrist | Current |
Accepting new patients |
Locations
6314 19th St W
Ste 1
Fircrest, WA 98466
Phone (206) 752-5501
10219 196th Street Ct E
Ste 1
Graham, WA 98338
Phone (253) 271-7313
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD61246749 | WA | |
| Optometrist | 152W00000X | OPT714 | NM | Yes |
Addresses
Primary practice location
6314 19TH St W Ste 1
Fircrest, WA 98466-6223
Mailing address
13406 115TH Ave E
Puyallup, WA 98374-3140
Phone (208) 690-1957
Other practice location 1
10219 196th Street Ct E Ste 1
Graham, WA 98338-7935
Phone (253) 271-7317
Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.