Individual provider Active NPI

Zachariah Michael Lott, OD

  • Optometrist
  • Flagstaff, AZ
National Provider Identifier
1144912403
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002700 Issued in AZ
Practice address
4650 N US Highway 89
Flagstaff, AZ 86004-2400
Phone
(928) 526-1911
NPI assigned
May 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002700 AZ Primary

Addresses

Primary practice location

4650 N US Highway 89
Flagstaff, AZ 86004-2400

Mailing address

9709 E Impala Ave
Mesa, AZ 85209-7044

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20230622001254 AZ Practitioner - Optometry 6507224623 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002700AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Jun 14, 2023 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC PastSince May 28, 2023 Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

4650 N US Highway 89
Ste C2
Flagstaff, AZ 86004
Phone (928) 522-8424

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

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.

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1144912403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9709 E IMPALA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 N US HIGHWAY 89",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860042400",
            "telephone_number": "928-526-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "ZACHARIAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.