Suzanne Therese Zamberlan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3902TX Issued in WA

Practice address

13317 NE 12TH Ave
Suite 107
Vancouver, WA 98685-2727

Phone

(360) 573-3937

Fax

(360) 574-3290

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Eye Care LLCGroup PAC ID 0244314961, 3 clinicians

Pacific UniversityGroup PAC ID 0345144705, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: szamberlan315821@direct.ochin.org

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.

• Evergreen Eye Care, LLC

  • Optometrist
  • Vancouver, WA
  • NPI 1255518239
  Medicare reassignment Care Compare group NPD Authorized official
• Pacific University

  • Optometrist
  • Hillsboro, OR
  • NPI 1306954011
  Medicare reassignment Care Compare group NPD
• Pacific University

  • Multi-Specialty Clinic/Center
  • Hillsboro, OR
  • NPI 1588793186
  NPD
• On Sight Optical, Inc.

  • Optometrist
  • Portland, OR
  • NPI 1003972225
  NPD (past)
• Pacific University

  • Optometrist
  • Cornelius, OR
  • NPI 1124225842
  NPD (past)
• Pacific University

  • Optometrist
  • Beaverton, OR
  • NPI 1124319009
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396748620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE",
            "address_2": "SUITE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852727",
            "telephone_number": "360-573-3937",
            "fax_number": "360-574-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13317 NE 12TH AVE",
            "address_2": "SUITE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852727",
            "telephone_number": "360-573-3937",
            "fax_number": "360-574-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMBERLAN",
        "first_name": "SUZANNE",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2977AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3902TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Zakhariya
• Svetlana Zakharov, RN, WCC,DWC
• Jillian Zalunardo, DO
• Vadim Zalyashko, LLD DENTURIST
• Vyacheslav P Zalyashko, DENTURIST
• Anzhela Zamedyanskaya
• Ashley Zyklaly Zamora, BS
• Carla Renee Zamora, RDH
• Celina Zamora
• Julia Melinda Zamora, N.D.

• Optometrist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.