Active NPI
Michelle Zaw, OD
- Optometrist
- Indio, CA
National Provider Identifier
1790339562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34301TLG
- Practice address
- 82227 US Highway 111
Indio, CA 92201-5667 - Phone
- (760) 347-6636
- NPI assigned
- Jul 30, 2019
- Last updated
- Jul 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34301TLG | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 34301TLG | CA | |
| Pediatric Optometrist | 152WP0200X | 34301TLG | CA | |
| Vision Therapy Optometrist | 152WV0400X | 34301TLG | CA | |
| Occupational Vision Optometrist | 152WX0102X | 34301TLG | CA |
Addresses
Primary practice location
82227 US Highway 111
Indio, CA 92201-5667
Mailing address
82227 US Highway 111
Indio, CA 92201-5667
Phone (760) 347-6636
Other practice location 1
52565 Cesar Chavez St Ste 105
Coachella, CA 92236-1534
Phone (760) 398-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34301TLG | CA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1790339562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82227 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922015667",
"telephone_number": "760-347-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82227 US HIGHWAY 111",
"city": "INDIO",
"state": "CA",
"postal_code": "922015667",
"telephone_number": "760-347-6636"
}
],
"practiceLocations": [
{
"address_1": "52565 Cesar Chavez St Ste 105",
"address_purpose": "LOCATION",
"city": "Coachella",
"state": "CA",
"postal_code": "922361534",
"country_code": "US",
"telephone_number": "760-398-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAW",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34301TLG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "34301TLG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "34301TLG",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "34301TLG",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "34301TLG",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.