Individual provider Active NPI

Zachary C. Landis, M.D.

  • Ophthalmology Physician
  • Philadelphia, PA
National Provider Identifier
1124405378
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD466995 Issued in PA
Practice address
840 Walnut St Ste 920
Philadelphia, PA 19107-5109
Phone
(215) 928-3180
Fax
(215) 928-3854
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cornea and External Diseases Specialist Physician 207WX0120X MD466995 PA
Ophthalmology Physician 207W00000X MD466995 PA Primary

Addresses

Primary practice location

840 Walnut St Ste 920
Philadelphia, PA 19107-5109

Mailing address

840 Walnut St Ste 920
Philadelphia, PA 19107-5109
Phone (215) 928-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190614001692 PA Practitioner - Ophthalmology 4284925942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Pennsylvania State University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Lancaster LTDGroup PAC ID 3476445974, 7 clinicians

Practice addresses (Care Compare)

1254 Lititz Pike
Lancaster, PA 17601-4340
Phone 7173974724974724

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

Merit-based Incentive Payment System (MIPS)

Final score
22.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery249

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Lancaster LTD Ophthalmology CurrentSince Aug 3, 2020 Accepting new patients
Eye Associates of Lancaster LTD CurrentSince Aug 3, 2020 Accepting new patients

Locations

1713 W Main St
Ephrata, PA 17522
Phone (717) 397-4724

1254 Lititz Pike
Lancaster, PA 17601
Phone (717) 397-4724

606 Community Way
Lancaster, PA 17603
Phone (610) 541-2807

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1124405378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 920",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST STE 920",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109",
            "telephone_number": "215-928-3180",
            "fax_number": "215-928-3854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDIS",
        "first_name": "ZACHARY",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "PA",
            "license": "MD466995",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD466995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.