Organization Active NPI

Zachary M Oswald PLLC

  • Optometrist
  • Dillon, MT
National Provider Identifier
1124516943
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-3096 Issued in MT
Legal business name
ZACHARY M OSWALD PLLC
Practice address
25 Johnson Ave
Dillon, MT 59725
Phone
(406) 683-2020
Fax
(406) 683-6409
NPI assigned
Apr 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Zachary McLean Oswald, O.D.NPI 1275810079
Title
Owner
Phone
(541) 699-8595

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 OPT-OPT-LIC-3096 MT Primary

Addresses

Primary practice location

25 Johnson Ave
Dillon, MT 59725

Mailing address

25 Johnson Ave
Dillon, MT 59725-3323
Phone (406) 683-2020

Other names 1

  • Precision EyeCare & Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180711003258 MT Part B Supplier - Clinic/Group Practice 4486900016 Receives reassigned benefits from 1 practitioner
Practice locations: Dillon, MT

National Provider Directory

National Provider Directory

Locations

25 Johnson Ave
Dillon, MT 59725
Phone (406) 683-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1124516943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JOHNSON AVE",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253323",
            "telephone_number": "406-683-2020",
            "fax_number": "406-683-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JOHNSON AVE",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "59725",
            "telephone_number": "406-683-2020",
            "fax_number": "406-683-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY M OSWALD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "OSWALD",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "MCLEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-699-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision EyeCare & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dillon, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.