Organization Active NPI

Noah Zavala, O.D., PLLC

  • Optometrist
  • Texas City, TX
National Provider Identifier
1720899073
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NOAH ZAVALA, O.D., PLLC
Practice address
2702 Palmer Hwy
Texas City, TX 77590-6930
Phone
(409) 948-1311
Fax
(409) 948-6836
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Dr. Noah Michael Zavala, ODNPI 1760225346
Title
President
Phone
(409) 692-7634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2702 Palmer Hwy
Texas City, TX 77590-6930

Mailing address

1821 23Rd Ave N
Texas City, TX 77590-5246
Phone (409) 692-7634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224001148 TX Part B Supplier - Clinic/Group Practice 6406376250 Receives reassigned benefits from 2 practitioners
Practice locations: Texas City, TX

National Provider Directory

National Provider Directory

Locations

2702 Palmer Hwy
Texas City, TX 77590
Phone (409) 948-0172

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1720899073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 23RD AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905246",
            "telephone_number": "409-692-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906930",
            "telephone_number": "409-948-1311",
            "fax_number": "409-948-6836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH ZAVALA, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "NOAH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-692-7634",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.