Organization Active NPI

Steven G Zegar, OD (Apoc)

  • Corneal and Contact Management Optometrist
  • Slidell, LA
National Provider Identifier
1497814412
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
758-188T Issued in LA
Legal business name
STEVEN G ZEGAR, OD (APOC)
Practice address
3088 Gause Blvd E
Slidell, LA 70461-4155
Phone
(985) 641-6464
Fax
(985) 646-2277
NPI assigned
Dec 6, 2006
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Steven G Zegar, O.D.NPI 1275525107
Title
President
Phone
(985) 641-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 758-188T LA Primary

Addresses

Primary practice location

3088 Gause Blvd E
Slidell, LA 70461-4155

Mailing address

3088 Gause Blvd E
Slidell, LA 70461-4155
Phone (985) 641-6464

Other identifiers 2

IdentifierTypeStateIssuer
1115010001OtherLADURABLE MEDICAL SUPPLIES
1940330MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051123000088 LA Part B Supplier - Clinic/Group Practice 6103846944 Receives reassigned benefits from 2 practitioners
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

3088 Gause Blvd E
Slidell, LA 70461
Phone (985) 641-6464

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232668800000",
    "number": "1497814412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614155",
            "telephone_number": "985-641-6464",
            "fax_number": "985-646-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 GAUSE BLVD E",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614155",
            "telephone_number": "985-641-6464",
            "fax_number": "985-646-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN G ZEGAR, OD (APOC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-01-23",
        "status": "A",
        "authorized_official_last_name": "ZEGAR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-641-6464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "758-188T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL SUPPLIES",
            "identifier": "1115010001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1940330",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.