Individual provider Active NPI

Noah Michael Zavala, OD

  • Optometrist
  • Texas City, TX
National Provider Identifier
1760225346
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11099 Issued in TX
Practice address
2702 Palmer Hwy
Texas City, TX 77590-6930
Phone
(409) 948-1311
NPI assigned
Jun 13, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11099 TX Primary

Addresses

Primary practice location

2702 Palmer Hwy
Texas City, TX 77590-6930

Mailing address

2702 Palmer Hwy
Texas City, TX 77590-6930
Phone (409) 948-1311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241125001700 TX Practitioner - Optometry 0143755306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Noah Zavala, O.D., PLLCGroup PAC ID 6406376250, 2 clinicians

Practice addresses (Care Compare)

2702 Palmer Hwy
Texas City, TX 77590-6930
Phone (409) 948-1311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Noah Zavala, O.D., PLLC Optometrist CurrentSince Jan 23, 2025 Accepting new patients

Locations

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

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1760225346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVALA",
        "first_name": "NOAH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.