Active NPI
Zachary Giles Nelson, OD
- Optometrist
- Bremerton, WA
National Provider Identifier
1164084315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61310557
- Practice address
- 2816 Wheaton Way
Bremerton, WA 98310-3433 - Phone
- (360) 479-2020
- NPI assigned
- Jul 8, 2019
- Last updated
- Oct 28, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002354 | AZ | |
| Optometrist | 152W00000X | OD61310557 | WA | Primary |
Addresses
Primary practice location
2816 Wheaton Way
Bremerton, WA 98310-3433
Mailing address
2816 Wheaton Way
Bremerton, WA 98310-3433
Phone (360) 479-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2816 Wheaton Way
Bremerton, WA 98310-3433
Phone (360) 479-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD61310557 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Kinney Whitemarsh PLLC | Optometrist | Current | Accepting new patients |
| MC Kinney Whitemarsh PLLC | Optometrist | Current | Accepting new patients |
Locations
23160 NE State Route 3
Belfair, WA 98528
Phone (360) 275-2020
2816 Wheaton Way
Bremerton, WA 98310
Phone (360) 479-2020
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1164084315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2816 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103433",
"telephone_number": "360-479-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 WHEATON WAY",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983103433",
"telephone_number": "360-479-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ZACHARY",
"middle_name": "GILES",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-08",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002354",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61310557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.