Individual provider Active NPI

Gregory Gene Zell, O.D.

  • Corneal and Contact Management Optometrist
  • Missoula, MT
National Provider Identifier
1679534705
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT-LIC-474 Issued in MT
Practice address
2510 S Reserve St
Missoula, MT 59801-7546
Phone
(406) 721-4646
Fax
(406) 721-3859
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT-LIC-474 MT Primary
Corneal and Contact Management Optometrist 152WC0802X 1460 WA

Addresses

Primary practice location

2510 S Reserve St
Missoula, MT 59801-7546

Mailing address

PO Box 4071
Missoula, MT 59806-4071
Phone (406) 721-4646

Other practice location 1

1150 E Idaho St
Vision Center
Kalispell, MT 59901-3227
Phone (406) 756-8400

Other identifiers 1

IdentifierTypeStateIssuer
48-3743MedicaidMT

Other names 1

  • Dr. Gregory G. Zell Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20041104001086 MT Practitioner - Optometry 0941263552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

3075 N Reserve St
Suite F
Missoula, MT 59808-1390
Phone (406) 721-4646

316 S 24TH St W
Suite B101
Billings, MT 59102-5605
Phone (406) 652-7297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
474MTMDMental Health Counselor
OPT-LIC-474MTMDCorneal and Contact Management Optometrist
1460WAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Current Accepting new patients
Shoptikal LLC CurrentSince May 16, 2019 Accepting new patients
Shoptikal LLC CurrentSince May 16, 2019 Accepting new patients

Locations

316 S 24th St W
Ste B101
Billings, MT 59102
Phone (406) 652-7297

3075 N Reserve St
Ste F
Missoula, MT 59808
Phone (406) 721-4646

2510 S Reserve St
Missoula, MT 59801
Phone (406) 721-3789

2510 S Reserve St
#4075
Missoula, MT 59801
Phone (406) 721-4646

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679534705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4071",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064071",
            "telephone_number": "406-721-4646",
            "fax_number": "406-721-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017546",
            "telephone_number": "406-721-4646",
            "fax_number": "406-721-3859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 E Idaho St",
            "address_2": "Vision Center",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013227",
            "country_code": "US",
            "telephone_number": "406-756-8400",
            "fax_number": "406-756-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZELL",
        "first_name": "GREGORY",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MT",
            "license": "OPT-LIC-474",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WA",
            "license": "1460",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48-3743",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREGORY",
            "last_name": "ZELL",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.