Individual provider Active NPI

Zachary Willits, OD

  • Optometrist
  • White City, OR
National Provider Identifier
1578170387
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4540 Issued in OR
Practice address
8495 Crater Lake Hwy BLDG 212
White City, OR 97503-3011
Phone
(541) 826-2111
NPI assigned
Sep 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ATI4540 OR Primary

Addresses

Primary practice location

8495 Crater Lake Hwy BLDG 212
White City, OR 97503-3011

Mailing address

1453 Carolyn Cir
Medford, OR 97504-4743
Phone (541) 840-3550

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL VASORCC Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20220606001542 OR Practitioner - Optometry 4284012188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Center PAGroup PAC ID 3173687944, 6 clinicians

Practice addresses (Care Compare)

350 E LN S
Ontario, OR 97914-3058
Phone (541) 889-2020

Merit-based Incentive Payment System (MIPS)

Final score
66.81 of 100Reported as group
Quality
33.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ATI4540ORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Center PA Optometrist CurrentSince May 11, 2022 Accepting new patients
Ann a Easly OD PC Optometrist Past Accepting new patients

Locations

279 SW 10th St
Ontario, OR 97914
Phone (541) 709-3059

350 East Ln S
Ontario, OR 97914
Phone (208) 322-5996

Interoperability endpoints

  • Direct secure messaging: zwillits@familyeyecenter.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1578170387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 CAROLYN CIR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044743",
            "telephone_number": "541-840-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8495 CRATER LAKE HWY BLDG 212",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "975033011",
            "telephone_number": "541-826-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLITS",
        "first_name": "ZACHARY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VASORCC",
            "affiliation": "N",
            "endpointDescription": "CPRS EHR on secured computers",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "password protected and encrypted computers",
            "address_1": "8495 Crater Lake Hwy Bldg 212",
            "city": "White City",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975033011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in White City, OR

Sources for this page

Verify at the official NPI Registry.