Individual provider Active NPI

Myles J Zakheim, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1801911599
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6586 Issued in CA
Practice address
11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544
Phone
(310) 820-7866
Fax
(310) 826-4896
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6586 CA Primary

Addresses

Primary practice location

11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544

Mailing address

11701 Wilshire Blvd Ste 10
Los Angeles, CA 90025-1544
Phone (310) 820-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080520000504 CA Practitioner - Optometry 8325117138 Reassigns benefits to 1 organization
I20231109000283 NY Practitioner - Optometry 8325117138 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11701 Wilshire Blvd
Suite 10
Los Angeles, CA 90025-1544
Phone (310) 820-7866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003687NYMDRegistered Dietitian
6586CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Myles Zakheim Optometrist CurrentSince Aug 16, 2023 Accepting new patients
M Zakheim O D a Professional Corporation Optometrist CurrentSince Jun 1, 2022 Accepting new patients

Locations

416 N Fairfax Ave
Los Angeles, CA 90036
Phone (323) 866-2020

632 Broadway
Ste Z
New York, NY 10012
Phone (212) 432-5847

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 3

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1801911599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251544",
            "telephone_number": "310-820-7866",
            "fax_number": "310-826-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 WILSHIRE BLVD STE 10",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251544",
            "telephone_number": "310-820-7866",
            "fax_number": "310-826-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHEIM",
        "first_name": "MYLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.