Cory Zwahlen

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100662 Issued in ID

Practice address

305 W Quinn Rd
Pocatello, ID 83201-4988

Phone

(208) 238-4040

NPI assigned

Jun 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

Southern College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Eyecare PLLCGroup PAC ID 4284867888, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Eyecare PLLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1992138432
  Medicare reassignment Care Compare group NPD
• Hanson Group LLC

  • Optometrist
  • Rexburg, ID
  • NPI 1295006039
  NPD (past)
• Westside Eyecare Inc

  • Optometrist
  • Idaho Falls, ID
  • NPI 1134299928
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1275375370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014988",
            "telephone_number": "208-238-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZWAHLEN",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Zaremba, M.S. CCC-SLP
• Karim Zeglam, MD
• Justin Dean Zierke, LCPC, NCC, ACADC
• Blaire M Zikratch-Clayson, DPT
• Zoe Interventional Pain Management

• Optometrist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.