Active NPI
Wayne E. Zahka, OD
- Optometrist
- Westwood, MA
National Provider Identifier
1306889191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3168
- Practice address
- 738 High St
Westwood, MA 02090-2503 - Phone
- (781) 329-5454
- Fax
- (781) 329-7813
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3168 | MA | Primary |
Addresses
Primary practice location
738 High St
Westwood, MA 02090-2503
Mailing address
738 High St
Westwood, MA 02090-2503
Phone (781) 329-5454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03252799 | Medicaid | MA | |
| 703958 | Other | MA | TUFTS HEALTH PLAN |
| W15685 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3168 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202688000000",
"number": "1306889191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "738 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902503",
"telephone_number": "781-329-5454",
"fax_number": "781-329-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "738 HIGH ST",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902503",
"telephone_number": "781-329-5454",
"fax_number": "781-329-7813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAHKA",
"first_name": "WAYNE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03252799",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "703958",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W15685",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.