Active NPI
David W Zauel Professional Corp
- Ophthalmology Physician
- Danville, IN
National Provider Identifier
1790095230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01029055A
- Legal business name
- DAVID W ZAUEL PROFESSIONAL CORP
- Practice address
- 1 Manor Dr
Danville, IN 46122-9401 - Phone
- (317) 745-2350
- Fax
- (317) 745-4145
- NPI assigned
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David W Zauel, MD
- Title
- Owner
- Phone
- (317) 745-2350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01029055A | IN | Primary |
Addresses
Primary practice location
1 Manor Dr
Danville, IN 46122-9401
Mailing address
1 Manor Dr
Danville, IN 46122-9401
Phone (317) 745-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201028900A/B | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
1111 Indianapolis Rd
Greencastle, IN 46135
Phone (317) 745-2330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Danville, IN
- NPI 1679552780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396483200000",
"number": "1790095230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MANOR DR",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461229401",
"telephone_number": "317-745-2350",
"fax_number": "317-745-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MANOR DR",
"city": "DANVILLE",
"state": "IN",
"postal_code": "461229401",
"telephone_number": "317-745-2350",
"fax_number": "317-745-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID W ZAUEL PROFESSIONAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-18",
"last_updated": "2014-04-03",
"status": "A",
"authorized_official_last_name": "ZAUEL",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "317-745-2350",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IN",
"license": "01029055A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201028900A/B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.