Active NPI
Deborah Zanella, O.D.
- Optometrist
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6867T
- Practice address
- 1251 East Southlake Boulevard
Suite 331
Southlake, TX 76092 - Phone
- (817) 310-0289
- Fax
- (817) 310-0684
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- 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 | 6867T | TX | Primary |
Addresses
Primary practice location
1251 East Southlake Boulevard
Suite 331
Southlake, TX 76092
Mailing address
2111 Kirkwood Blvd Ste 100
Southlake, TX 76092-1461
Phone (817) 416-2010
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1872 Norwood Dr
Suite 200
Hurst, TX 76054-7018
Phone (817) 540-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6867 | TX | MD | Chiropractor |
| 6867T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Texas Eye and Laser Center, PA | Current | Accepting new patients | |
| Texas Eye Surgery Center, LLC | Past | Accepting new patients |
Locations
5330 E Mockingbird Ln
Ste 130
Dallas, TX 75206
Phone (214) 341-9955
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
1872 Norwood Dr
Ste 200
Hurst, TX 76054
Phone (817) 540-6060
2111 Kirkwood Blvd
Ste 100
Southlake, TX 76092
Phone (817) 416-2010
670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466
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
- Hurst, TX
- NPI 1437236262
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
- Ambulatory Surgical Clinic/Center
- Hurst, TX
- NPI 1750468583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592352000000",
"number": "1497813646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 KIRKWOOD BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921461",
"telephone_number": "817-416-2010",
"fax_number": "817-416-2013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 EAST SOUTHLAKE BOULEVARD",
"address_2": "SUITE 331",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "76092",
"telephone_number": "817-310-0289",
"fax_number": "817-310-0684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANELLA",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6867T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.