Organization Active NPI

Zanella Optometry, PLLC

  • Optometrist
  • Southlake, TX
National Provider Identifier
1881759785
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6868T Issued in TX
Legal business name
ZANELLA OPTOMETRY, PLLC
Practice address
1251 E. Southlake Blvd Suite 331
Southlake, TX 76092
Phone
(817) 310-0289
Fax
(817) 310-0684
NPI assigned
Dec 22, 2006
Last updated
Jan 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Peter J Zanella Jr., OD
Title
President
Phone
(817) 310-0289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6868T TX Primary

Addresses

Primary practice location

1251 E. Southlake Blvd Suite 331
Southlake, TX 76092

Mailing address

1251 E. Southlake Blvd Suite 331
Southlake, TX 76092
Phone (817) 310-0289

National Provider Directory

National Provider Directory

Locations

2111 Kirkwood Blvd
Southlake, TX 76092
Phone (817) 329-0102

2111 Kirkwood Blvd
Ste 100
Southlake, TX 76092
Phone (817) 416-2010

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1881759785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E. SOUTHLAKE BLVD SUITE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-310-0289",
            "fax_number": "817-310-0684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E. SOUTHLAKE BLVD SUITE 331",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-310-0289",
            "fax_number": "817-310-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANELLA OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ZANELLA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-310-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6868T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.