Active NPI
Richard Zavoda, O.D.
- Optometrist
- Hamilton, MT
National Provider Identifier
1144319955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4258
- Practice address
- 239 N 2ND St
Hamilton, MT 59840-2503 - Phone
- (406) 961-9611
- Fax
- (406) 961-9014
- NPI assigned
- Oct 11, 2006
- Last updated
- Sep 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4395 | OH | |
| Optometrist | 152W00000X | 4258 | MT | Primary |
| Optometrist | 152W00000X | 2555 | CO |
Addresses
Primary practice location
239 N 2ND St
Hamilton, MT 59840-2503
Mailing address
239 N 2ND St
Hamilton, MT 59840-2503
Phone (406) 961-9611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4258 | MT | MD | Neurology Physician |
| 2555 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marvel Vision Clinic, LLC | Optometrist | Current | Accepting new patients |
| Oneopto Co 1 PLLC | Optometrist | Past | Accepting new patients |
Locations
239 N 2nd St
Hamilton, MT 59840
Phone (406) 961-9611
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Hamilton, MT
- NPI 1871262501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1144319955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 N 2ND ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402503",
"telephone_number": "406-961-9611",
"fax_number": "406-961-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 N 2ND ST",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402503",
"telephone_number": "406-961-9611",
"fax_number": "406-961-9014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAVODA",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4395",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "4258",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.