Zackary Elkins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E07-TA-B37 Issued in AL

Practice address

101 Fly Creek Ave
Fairhope, AL 36532-8305

Phone

(205) 901-4721

Fax

(251) 383-2062

NPI assigned

Jun 14, 2018

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Group practices

Cobb and Terrezza OD PCGroup PAC ID 0749534634, 4 clinicians

Bay Eyes Cataract and Laser Center IncGroup PAC ID 0547206765, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zelkins@segal.intellechartdirect.net

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.

• Bay Eyes Cataract and Laser Center, Inc.

  dba Southern Eye Group of Alabama

  • Optometrist
  • Fairhope, AL
  • NPI 1396884227
  Medicare reassignment Care Compare group NPD
• Cobb and Terrezza OD PC

  • Optometrist
  • Foley, AL
  • NPI 1841793494
  Medicare reassignment Care Compare group NPD
• Fairhope Terrezza Group OD PC

  • Optometrist
  • Fairhope, AL
  • NPI 1972358091
  Medicare reassignment NPD

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1114410040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207243",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207243",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FLY CREEK AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328305",
            "telephone_number": "205-901-4721",
            "fax_number": "251-383-2062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365353534",
            "country_code": "US",
            "telephone_number": "251-943-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "ZACKARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E07-TA-B37",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynette Edwards, MFT-I
• Walter Le Rroy Elam III
• Element Health, Inc.
• Element of Fun, LLC
• Haley Suzanne Elkins, CRNP
• Julia Centanni Ellison, DO
• Emerald Coast Medical Transportation, LLC
• Empower Therapy for Women, LLC
• Empowered for Joy Counseling LLC
• Encore Rehabilitation of Fairhope

• Optometrist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.