Individual provider Active NPI

Andrew B Zagelbaum, OD

  • Optometrist
  • Scottsdale, AZ
National Provider Identifier
1871356915
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002765 Issued in AZ
Practice address
3501 N Scottsdale Rd Ste 140
Scottsdale, AZ 85251-5649
Phone
(602) 932-3306
Fax
(602) 926-2394
NPI assigned
Feb 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002765 AZ Primary

Addresses

Primary practice location

3501 N Scottsdale Rd Ste 140
Scottsdale, AZ 85251-5649

Mailing address

3501 N Scottsdale Rd Ste 140
Scottsdale, AZ 85251-5649
Phone (602) 932-3306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240418002908 AZ Practitioner - Optometry 5991149007 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 N Scottsdale Rd
Suite 140
Scottsdale, AZ 85251-5649
Phone (602) 932-3306

3805 E Bell Rd
Suite 1800
Phoenix, AZ 85032-2135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002765AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dry Eye Center of Arizona Optometrist CurrentSince Nov 1, 2025 Accepting new patients

Locations

3501 N Scottsdale Rd
Ste 140
Scottsdale, AZ 85251
Phone (480) 513-2727

Organizations & group practices 1

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": "1706745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1871356915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "602-932-3306",
            "fax_number": "602-926-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N SCOTTSDALE RD STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515649",
            "telephone_number": "602-932-3306",
            "fax_number": "602-926-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGELBAUM",
        "first_name": "ANDREW",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-01",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.