Active NPI
Donald Robert Zvanut, OD
- Optometrist
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8642TPG
- Practice address
- 7339 El Cajon Blvd Ste JK
La Mesa, CA 91942-7435 - Phone
- (661) 972-2846
- Fax
- (619) 722-8465
- NPI assigned
- Nov 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | U51564 | CA | |
| Optometrist | 152W00000X | 8642TPG | CA | Primary |
Addresses
Primary practice location
7339 El Cajon Blvd Ste JK
La Mesa, CA 91942-7435
Mailing address
225 W Madison Ave
Suite 1
El Cajon, CA 92020
Phone (619) 442-0844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5565 Grossmont Ctr Dr
Suite 551
La Mesa, CA 91942-3078
Phone (619) 465-2020
7339 El Cajon Blvd
Suite a
La Mesa, CA 91942-7435
Phone (619) 722-8460
9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 457-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8642TPG | CA | MD | Optometrist |
| U51564 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Institute of California Medical Group, a California Medical Par | Optometrist | Current | Accepting new patients |
| Barry a. Katzman, M.D., Inc Apc | Optometrist | Past | Accepting new patients |
| Retina Institute of California Medical Group, a California Medical Par | Optometrist | Past | Accepting new patients |
Locations
288 N Santa Anita Ave
Ste 101
Arcadia, CA 91006
9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500
11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954
225 W Madison Ave
Ste 1
El Cajon, CA 92020
Phone (619) 327-0146
7339 El Cajon Blvd
Ste J
La Mesa, CA 91942
Phone (619) 668-6200
7339 El Cajon Blvd
La Mesa, CA 91942
Phone (619) 668-1515
7339 El Cajon Blvd
Ste Jk
La Mesa, CA 91942
Phone (619) 722-8460
7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460
100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Ophthalmology Physician
- Pasadena, CA
- NPI 1760541569
Optometrist
-
- Optometrist
- San Diego, CA
- NPI 1588842488
-
- Ophthalmology Physician
- El Cajon, CA
- NPI 1336641034
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1336211804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W MADISON AVE",
"address_2": "SUITE 1",
"city": "EL CAJON",
"state": "CA",
"postal_code": "92020",
"telephone_number": "619-442-0844",
"fax_number": "619-442-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7339 EL CAJON BLVD STE JK",
"city": "LA MESA",
"state": "CA",
"postal_code": "919427435",
"telephone_number": "661-972-2846",
"fax_number": "619-722-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZVANUT",
"first_name": "DONALD",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "U51564",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8642TPG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.