Zachary James Faust, OD
Individual provider Active NPI Optometrist · Uvalde, TX
NPI 1407340607 · NPPES record last updated Jun 26, 2018
Key facts
- NPI
- 1407340607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9519T (TX)
- Practice address
- 2112 E Main St
Uvalde, TX 78801 - Phone
- (830) 278-2565
- Fax
- (830) 278-3718
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180712002860 | TX | Practitioner - Optometry | 9436405958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9519T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JSK Eyecare | Optometrist | Current |
Accepting new patients |
| Faust Eye Care LLC | Optometrist | Current | Accepting new patients |
| Bluebonnet Eye Care | Optometrist | Current |
Accepting new patients |
| James Eyecare Center, Inc | Optometrist | Current |
Accepting new patients |
| Abba Optical Inc | Optometrist | Past |
Accepting new patients |
| Vision Plus LLC | Optometrist | Past |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9519T | TX | Yes |
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
Other providers in Uvalde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.