Active NPI
Zachary German, O.D.
- Optometrist
- Tumwater, WA
National Provider Identifier
1720640246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD61189395
- Practice address
- 5164 Capitol Blvd SE
Tumwater, WA 98501-4442 - Phone
- (360) 357-3410
- NPI assigned
- Jul 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3548 | TN | |
| Optometrist | 152W00000X | 2457 | AZ | |
| Optometrist | 152W00000X | OD61189395 | WA | Primary |
Addresses
Primary practice location
5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Mailing address
2845 N Prescott Rd
Flagstaff, AZ 86001-1077
Phone (937) 776-8139
Other practice location 1
4650 N US Highway 89 Ste C2
Flagstaff, AZ 86004-2444
Phone (928) 522-8424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OD61189395 | Other | WA | WA STATE OD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5164 Capitol Blvd SE
Tumwater, WA 98501-4442
Phone (360) 357-3410
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 22 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2457 | AZ | MD | Optometrist |
| OD61189395 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Health PLLC | Optometrist | Current | Accepting new patients |
| Southern College of Optometry | Optometrist | Past | Accepting new patients |
Locations
5164 Capitol Blvd SE
Tumwater, WA 98501
Phone (360) 357-3410
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.
-
- Optometrist
- Tumwater, WA
- NPI 1184781353
-
- Optometrist
- Memphis, TN
- NPI 1518309202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1720640246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 N PRESCOTT RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011077",
"telephone_number": "937-776-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5164 CAPITOL BLVD SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014442",
"telephone_number": "360-357-3410"
}
],
"practiceLocations": [
{
"address_1": "4650 N US Highway 89 Ste C2",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860042444",
"country_code": "US",
"telephone_number": "928-522-8424",
"fax_number": "928-526-1503",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERMAN",
"first_name": "ZACHARY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-04",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3548",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2457",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD61189395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE OD LICENSE",
"identifier": "OD61189395",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.