Active NPI
Zane Frederick Dubour, O.D.,M.S.
- Optometrist
- Fitchburg, MA
National Provider Identifier
1821180571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2516
- Practice address
- 285 Main St
Fitchburg, MA 01420-4303 - Phone
- (978) 342-1837
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2516 | MA | Primary |
Addresses
Primary practice location
285 Main St
Fitchburg, MA 01420-4303
Mailing address
3800 S Athol Rd
Athol, MA 01331-9424
Phone (978) 249-9212
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43490 | Other | MA | CIGNA |
| W15413 | Other | MA | BLUR CROSS BLUE SHIELD |
| 0341061 | Medicaid | MA | |
| 152147 | Other | MA | HARVARD PILGRIM |
| 67948 | Other | MA | FALLON CHP |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2516 | MA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821180571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S ATHOL RD",
"city": "ATHOL",
"state": "MA",
"postal_code": "013319424",
"telephone_number": "978-249-9212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 MAIN ST",
"city": "FITCHBURG",
"state": "MA",
"postal_code": "014204303",
"telephone_number": "978-342-1837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOUR",
"first_name": "ZANE",
"middle_name": "FREDERICK",
"name_prefix": "Dr.",
"credential": "O.D.,M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "43490",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUR CROSS BLUE SHIELD",
"identifier": "W15413",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341061",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "152147",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON CHP",
"identifier": "67948",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fitchburg, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.