Organization Active NPI

Joseph J. Zelasko OD PC

  • Optometrist
  • Tacoma, WA
National Provider Identifier
1174617757
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD0001689 Issued in WA
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2031144MedicaidWA
2008811MedicaidWA
2031151MedicaidWA

Other names 1

  • Century Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

4826 Tacoma Mall Blvd
Ste A
Tacoma, WA 98409
Phone (253) 475-0374

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.