Individual provider Active NPI

Zachary McLean Oswald, O.D.

  • Optometrist
  • Dillon, MT
National Provider Identifier
1275810079
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-OPT-LIC-3096 Issued in MT
Practice address
25 Johnson Ave
Dillon, MT 59725-3323
Phone
(406) 683-2020
Fax
(406) 683-6409
NPI assigned
Nov 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9885098-9934 UT
Optometrist 152W00000X 3437ATI OR
Optometrist 152W00000X ODP-100231 ID
Optometrist 152W00000X OPT-OPT-LIC-3096 MT Primary

Addresses

Primary practice location

25 Johnson Ave
Dillon, MT 59725-3323

Mailing address

25 Johnson Ave
Dillon, MT 59725-3323
Phone (406) 683-2020

Other practice location 1

2540 Channing Way
Idaho Falls, ID 83404-7515
Phone (208) 529-2700

Other practice location 2

2540 Channing Way
Idaho Falls, ID 83404-7515
Phone (208) 529-2700

Other practice location 3

2540 Channing Way
Idaho Falls, ID 83404
Phone (208) 529-2700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address precision@direct.revolutionehr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160722001053 ID Practitioner - Optometry 2264689397 Reassigns benefits to 1 organization
I20180712003433 MT Practitioner - Optometry 2264689397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 Johnson Ave
Dillon, MT 59725-3323
Phone (406) 683-2020

Merit-based Incentive Payment System (MIPS)

Final score
95.33 of 100Reported as individual
Quality
90.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9885098-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivie Family Vision PA Optometrist CurrentSince Sep 21, 2016 Accepting new patients
Bradley P Kepp OD PC Optometrist CurrentSince Jun 26, 2018 Accepting new patients
Zachary M Oswald PLLC Optometrist CurrentSince Jun 26, 2018 Accepting new patients

Locations

2540 Channing Way
Idaho Falls, ID 83404
Phone (208) 523-1980

2405 Jafer Ct
Idaho Falls, ID 83404
Phone (208) 529-2700

25 Johnson Ave
Dillon, MT 59725
Phone (406) 683-2020

Interoperability endpoints

  • Direct secure messaging: zachary.oswald@direct.revolutionehr.com
  • Direct secure messaging: precision@direct.revolutionehr.com

Organizations & group practices 3

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1275810079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JOHNSON AVE",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253323",
            "telephone_number": "406-683-2020",
            "fax_number": "406-683-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JOHNSON AVE",
            "city": "DILLON",
            "state": "MT",
            "postal_code": "597253323",
            "telephone_number": "406-683-2020",
            "fax_number": "406-683-6409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047515",
            "country_code": "US",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047515",
            "country_code": "US",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2540 Channing Way",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "83404",
            "country_code": "US",
            "telephone_number": "208-529-2700",
            "fax_number": "208-529-0873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "ZACHARY",
        "middle_name": "MCLEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "9885098-9934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3437ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100231",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "OPT-OPT-LIC-3096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "precision@direct.revolutionehr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "25 Johnson Ave",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597253323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dillon, MT

Sources for this page

Verify at the official NPI Registry.