Jeffrey David Zilles, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11316580-9934 Issued in UT

Practice address

495 W 600 N
Tremonton, UT 84337

Phone

(435) 257-7436

NPI assigned

May 28, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Sex

Male

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 UT

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lynn R. Purcell, O.D., IncGroup PAC ID 9335132463, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://bearrivereye.ef.prod.fhir.ema-api.com/fhir/r4/
• Direct secure messaging: jdzilles@bearrivereye.emadirect.md

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.

• Bear River Eye Center, Inc

  • Optometrist
  • Tremonton, UT
  • NPI 1275714412
  Medicare reassignment Care Compare group NPD
• Mt Ogden Eye Center LLC

  dba Utah Eye Centers

  • Ophthalmology Physician
  • Ogden, UT
  • NPI 1700927043

  Optometrist

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Bear River Valley Hospital

  • General Acute Care Hospital
  • Tremonton, UT
  • NPI 1679582944
  Care Compare affiliation

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1508423252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 W 600 N",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "843372411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 600 N",
            "city": "TREMONTON",
            "state": "UT",
            "postal_code": "84337",
            "telephone_number": "435-257-7436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 W 600 N",
            "address_purpose": "LOCATION",
            "city": "Tremonton",
            "state": "UT",
            "postal_code": "84337",
            "country_code": "US",
            "telephone_number": "435-257-7436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZILLES",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "11316580-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Darin Williams, DDS
• Savannah Winters
• Lisa A Wright, RD,CD
• Nicholas Trent Wynn
• Jackson Wright Young, CNIM

• Optometrist in Tremonton, UT
• Providers in Tremonton, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.