Individual provider Active NPI

Anthony Zacchei, MD

  • Ophthalmology Physician
  • King of Prussia, PA
National Provider Identifier
1902912660
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD058362L Issued in PA
Practice address
200 Mall Blvd
King of Prussia, PA 19406-2902
Phone
(610) 337-1580
Fax
(610) 337-2133
NPI assigned
Aug 22, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD058362L PA Primary

Addresses

Primary practice location

200 Mall Blvd
King of Prussia, PA 19406-2902

Mailing address

200 Mall Blvd
King of Prussia, PA 19406-2902
Phone (610) 337-1580

Other identifiers 1

IdentifierTypeStateIssuer
00158471906MedicaidPA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD058362LPAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Vision Associates Group Practice PA Ophthalmology Past Accepting new patients
Moore Eye Care, P.C. Ophthalmology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1902912660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MALL BLVD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062902",
            "telephone_number": "610-337-1580",
            "fax_number": "610-337-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCHEI",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD058362L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00158471906",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.