Individual provider Active NPI

Zachary Pfau, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1679913818
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1918 Issued in AZ
Practice address
1110 N El Dorado PL
Tucson, AZ 85715-4606
Phone
(520) 327-5677
Fax
(520) 325-2335
NPI assigned
Jul 2, 2013
Reactivated
Oct 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1918 AZ Primary

Addresses

Primary practice location

1110 N El Dorado PL
Tucson, AZ 85715-4606

Mailing address

1110 N El Dorado PL
Tucson, AZ 85715-4606
Phone (520) 327-5677

Other practice location 1

1150 S Calle De Las Casitas Ste 150
Green Valley, AZ 85614-2062
Phone (520) 625-7450

Other practice location 2

10350 E Drexel Rd Ste 230
Tucson, AZ 85747-9405
Phone (520) 202-0401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20130805000485 AZ Practitioner - Optometry 8527200583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Eye Associates LTDGroup PAC ID 9436142072, 5 clinicians

Practice addresses (Care Compare)

1110 N El Dorado PL
Tucson, AZ 85715-4606
Phone (520) 327-5677

Merit-based Incentive Payment System (MIPS)

Final score
91.57 of 100Reported as group
Quality
96.45
Improvement activities
40
Cost
76.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1918AZMDOptometrist

Interoperability endpoints

  • Direct secure messaging: zpfau@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1679913818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-327-5677",
            "fax_number": "520-325-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N EL DORADO PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154606",
            "telephone_number": "520-327-5677",
            "fax_number": "520-325-2335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 S Calle De Las Casitas Ste 150",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856142062",
            "country_code": "US",
            "telephone_number": "520-625-7450",
            "fax_number": "520-625-0648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10350 E Drexel Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857479405",
            "country_code": "US",
            "telephone_number": "520-202-0401",
            "fax_number": "520-325-2335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFAU",
        "first_name": "ZACHARY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "deactivation_date": "2022-09-29",
        "reactivation_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.