Individual provider Active NPI

Emily Marie Zepeda, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Oklahoma City, OK
National Provider Identifier
1790103067
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
34768 Issued in OK
Practice address
608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone
(405) 271-1094
Fax
(405) 271-3013
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301114270 MI
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X 34768 OK Primary

Addresses

Primary practice location

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065

Mailing address

608 Stanton L Young Blvd
Oklahoma City, OK 73104-5065
Phone (405) 271-1094

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ezepeda@directdmei.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230726002399 MA Practitioner - Ophthalmology 0446576029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Loyola University of Chicago, Stritch School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newton Wellesley Eye Associates PCGroup PAC ID 1355361742, 14 clinicians

Practice addresses (Care Compare)

60 Walnut St
Suite 2
Wellesley, MA 02481-2103
Phone (617) 964-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
34768OKMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Wellesley Eye Associates, P.C. Ophthalmology CurrentSince Jul 1, 2023 Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology Past Accepting new patients

Locations

2000 Washington St
Ste 462
Newton Lower Falls, MA 02462
Phone (617) 332-6311

60 Walnut St
Ste 2
Wellesley Hills, MA 02481
Phone (617) 964-1050

Interoperability endpoints

  • Direct secure messaging: zepeda.emily.nwh@direct.partners.masshiway.net
  • Direct secure messaging: ezepeda71246@ouhealth.direct-ci.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1790103067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-1094",
            "fax_number": "405-271-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STANTON L YOUNG BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045065",
            "telephone_number": "405-271-1094",
            "fax_number": "405-271-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEPEDA",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301114270",
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "OK",
            "license": "34768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ezepeda@directdmei.org",
            "affiliation": "N",
            "address_1": "608 Stanton L Young Blvd",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731045065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.