Organization Active NPI

Douglas a Zale MD Inc

  • Ophthalmology Physician
  • Chesterton, IN
National Provider Identifier
1164591848
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DOUGLAS A ZALE MD INC
Practice address
711 S Calumet Rd
Chesterton, IN 46304-3220
Phone
(219) 926-1001
Fax
(219) 929-1989
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Dr. Douglas A Zale, MDNPI 1982601449
Title
Owner / Physician
Phone
(219) 926-1001

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

711 S Calumet Rd
Chesterton, IN 46304-3220

Mailing address

711 S Calumet Rd
Chesterton, IN 46304-3220
Phone (219) 926-1001

Other names 1

  • Zale Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060501000270 IN Part B Supplier - Clinic/Group Practice 9234128018 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Chesterton, IN
O20100930076640 IN DME Supplier - Physician - Ophthalmology 9234128018 Practice locations: Chesterton, IN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2101 Burlington Beach Rd
Valparaiso, IN 46383
Phone (219) 462-0309

Practitioners & affiliated clinicians

Practitioners 5

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1164591848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S CALUMET RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043220",
            "telephone_number": "219-926-1001",
            "fax_number": "219-929-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S CALUMET RD",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463043220",
            "telephone_number": "219-926-1001",
            "fax_number": "219-929-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A ZALE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "ZALE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "219-926-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zale Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.