Active NPI
Joseph J. Zelasko OD PC
- Optometrist
- Tacoma, WA
National Provider Identifier
1174617757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0001689
- Legal business name
- JOSEPH J. ZELASKO OD PC
- Practice address
- 4826 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7108 - Phone
- (253) 475-0374
- Fax
- (253) 475-9291
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph J Zelasko, O.D.
- Title
- Optometrist
- Phone
- (253) 475-0374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD0001689 | WA | Primary |
Addresses
Primary practice location
4826 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7108
Mailing address
4826 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7108
Phone (253) 475-0374
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2031144 | Medicaid | WA | |
| 2008811 | Medicaid | WA | |
| 2031151 | Medicaid | WA |
Other names 1
- Century Eye Care
National Provider Directory
National Provider DirectoryLocations
4826 Tacoma Mall Blvd
Ste A
Tacoma, WA 98409
Phone (253) 475-0374
Interoperability endpoints
- dr.zelasko@centuryeyecare.eyefinity-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1174617757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4826 TACOMA MALL BLVD STE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097108",
"telephone_number": "253-475-0374",
"fax_number": "253-475-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4826 TACOMA MALL BLVD STE A",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097108",
"telephone_number": "253-475-0374",
"fax_number": "253-475-9291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH J. ZELASKO OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "ZELASKO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "253-475-0374",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "OD0001689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031144",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2008811",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2031151",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Century Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.