Individual provider Active NPI

Robert H Zoellner, O.D.

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1164541785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2028 Issued in OK
Practice address
6999 S Memorial Dr
Tulsa, OK 74133-2035
Phone
(918) 461-2020
Fax
(918) 461-2022
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2028 OK Primary

Addresses

Primary practice location

6999 S Memorial Dr
Tulsa, OK 74133-2035

Mailing address

6999 S Memorial Dr
Tulsa, OK 74133-2035
Phone (918) 461-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230113000877 OK Practitioner - Optometry 3870507270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2028OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H. Zoellner & Associates P.C. Optometrist CurrentSince Jan 3, 2023 Accepting new patients

Locations

6999 S Memorial Dr
Tulsa, OK 74133
Phone (918) 461-2020

3030 S Harvard Ave
Tulsa, OK 74114
Phone (918) 749-2020

3016 S Harvard Ave
Tulsa, OK 74114
Phone (918) 749-2020

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164541785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332035",
            "telephone_number": "918-461-2020",
            "fax_number": "918-461-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741332035",
            "telephone_number": "918-461-2020",
            "fax_number": "918-461-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOELLNER",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.