Individual provider Active NPI

Zachary Unrau, OD

  • Optometrist
  • Otsego, MN
National Provider Identifier
1699406520
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3800 Issued in MN
Practice address
15704 90TH St NE Ste 100
Otsego, MN 55330-7448
Phone
(763) 241-1090
NPI assigned
Jun 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X 3800 MN
Vision Therapy Optometrist 152WV0400X 3800 MN
Optometrist 152W00000X 3800 MN Primary

Addresses

Primary practice location

15704 90TH St NE Ste 100
Otsego, MN 55330-7448

Mailing address

6225 Wakefield CT
Shakopee, MN 55379-7099
Phone (812) 929-0690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Eyes Vision Clinic, PA Optometrist CurrentSince Jun 26, 2022 Accepting new patients

Locations

15704 90th St NE
#100
Otsego, MN 55330
Phone (763) 241-1090

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1699406520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 WAKEFIELD CT",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553797099",
            "telephone_number": "812-929-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15704 90TH ST NE STE 100",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553307448",
            "telephone_number": "763-241-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRAU",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MN",
            "license": "3800",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MN",
            "license": "3800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.