Joseph J Zelasko, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0001689 Issued in WA

Practice address

4826 Tacoma Mall Blvd Ste a
Tacoma, WA 98409-7108

Phone

(253) 475-0374

Fax

(253) 475-9291

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dr.zelasko@centuryeyecare.eyefinity-direct.com

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.

• Optical Shop of Wa Inc

  • Optometrist
  • Shelton, WA
  • NPI 1730362435
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1548301617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 TACOMA MALL BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097108",
            "telephone_number": "253-475-0374",
            "fax_number": "253-475-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 TACOMA MALL BLVD STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097108",
            "telephone_number": "253-475-0374",
            "fax_number": "253-475-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELASKO",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD0001689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008811",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE ID NUMBER",
            "identifier": "ZE6347",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2031144",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisbeth Estrada Zavala
• Wayne D Zebelman, MD
• Mary Zeigler, LICSW
• Samrawit Sisay Zeinu
• Camille Marie Zeiter, LICSW
• Gayle L Zeller, MA
• Vondradee Lynn Zeller, LPN
• John Lawrence Zemkewicz, DO
• Zenergy Massage Clinic
• Ping Zeng, PHARM.D.

• Optometrist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.