Individual provider Active NPI

Norman A. Zaffater Jr., M.D.

  • Ophthalmology Physician
  • Bossier City, LA
National Provider Identifier
1124010939
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
10876R Issued in LA
Practice address
2449 Hospital Dr Ste 460
Bossier City, LA 71111-1918
Phone
(318) 747-5838
Fax
(318) 747-5827
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 10876R LA Primary

Addresses

Primary practice location

2449 Hospital Dr Ste 460
Bossier City, LA 71111-1918

Mailing address

2449 Hospital Dr Ste 460
Bossier City, LA 71111-1918
Phone (318) 747-5838

Other identifiers 1

IdentifierTypeStateIssuer
1496057MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000087 LA Practitioner - Ophthalmology 5294736385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Zaffater Eye CenterGroup PAC ID 4385931773, 2 clinicians

Practice addresses (Care Compare)

2449 Hospital Dr
Suite 460
Bossier City, LA 71111-1918
Phone (318) 747-5838

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
WK Zaffater Eye Center Ophthalmology CurrentSince Oct 1, 2016 Accepting new patients

Locations

2449 Hospital Dr
Ste 460
Bossier City, LA 71111
Phone (318) 747-5838

2400 Hospital Dr
Ste 100
Bossier City, LA 71111
Phone (318) 212-7860

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGGAA/Endpoint/JGGGAA
  • Direct secure messaging: normanzaffater@wkhealth.direct.eyemdemr.com
  • Direct secure messaging: nzaffater@direct.wkhs.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1124010939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 460",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111918",
            "telephone_number": "318-747-5838",
            "fax_number": "318-747-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 HOSPITAL DR STE 460",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711111918",
            "telephone_number": "318-747-5838",
            "fax_number": "318-747-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAFFATER",
        "first_name": "NORMAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "10876R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496057",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.