Individual provider Active NPI

Douglas F. Zahler, O.D.

  • Optometrist
  • Canton, OH
National Provider Identifier
1568545424
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3447/T320 Issued in OH
Practice address
4100 Belden Village St. N.W.
Sears Building
Canton, OH 44718-2510
Phone
(330) 492-9502
Fax
(330) 494-5691
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3447/T320 OH Primary

Addresses

Primary practice location

4100 Belden Village St. N.W.
Sears Building
Canton, OH 44718-2510

Mailing address

4100 Belden Village St. N.W.
Canton, OH 44718-2510
Phone (330) 492-9502

Other identifiers 1

IdentifierTypeStateIssuer
0426935MedicaidOH

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060501000467 OH Practitioner - Optometry 1759391089 Practice locations: Canton, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3447OHMDChiropractor
3447/T320OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568545424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BELDEN VILLAGE ST. N.W.",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182510",
            "telephone_number": "330-492-9502",
            "fax_number": "330-494-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BELDEN VILLAGE ST. N.W.",
            "address_2": "SEARS BUILDING",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182510",
            "telephone_number": "330-492-9502",
            "fax_number": "330-494-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHLER",
        "first_name": "DOUGLAS",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3447/T320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426935",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.