Individual provider Active NPI

Zachary James Faust, OD

  • Optometrist
  • Uvalde, TX
National Provider Identifier
1407340607
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9519T Issued in TX
Practice address
2112 E Main St
Uvalde, TX 78801
Phone
(830) 278-2565
Fax
(830) 278-3718
NPI assigned
Jun 20, 2018
Last updated
Jun 26, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9519T TX Primary

Addresses

Primary practice location

2112 E Main St
Uvalde, TX 78801

Mailing address

10115 Roseangel LN
Helotes, TX 78023-3765
Phone (479) 790-5348

Other practice location 1

6301 NW Loop 410 Ste N1
San Antonio, TX 78238-3835
Phone (210) 520-6353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20180712002860 TX Practitioner - Optometry 9436405958 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Faust Eye Care LLC Optometrist Current Accepting new patients
Bluebonnet Eye Care Optometrist CurrentSince Aug 15, 2022 Accepting new patients
James Eyecare Center, Inc Optometrist CurrentSince Apr 1, 2022 Accepting new patients
JSK Eyecare Optometrist CurrentSince Mar 1, 2020 Accepting new patients
Vision Plus LLC Optometrist PastSince Jun 25, 2018 Accepting new patients
Abba Optical Inc Optometrist PastSince Aug 15, 2022 Accepting new patients

Locations

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

901 N Bedell Ave
Ste E
Del Rio, TX 78840
Phone (830) 775-2020

9823 W Interstate 10
San Antonio, TX 78230
Phone (210) 696-6500

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1407340607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 ROSEANGEL LN",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233765",
            "telephone_number": "479-790-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 E MAIN ST",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "78801",
            "telephone_number": "830-278-2565",
            "fax_number": "830-278-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6301 NW Loop 410 Ste N1",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782383835",
            "country_code": "US",
            "telephone_number": "210-520-6353",
            "fax_number": "210-522-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST",
        "first_name": "ZACHARY",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9519T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uvalde, TX

Sources for this page

Verify at the official NPI Registry.