Individual provider Active NPI

Zachary Makal, OD

  • Optometrist
  • Madison, WI
National Provider Identifier
1952015968
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3856-35 Issued in WI
Practice address
4228 E Towne Blvd
Madison, WI 53704-3704
Phone
(608) 241-3737
NPI assigned
Jan 13, 2023
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3856-35 WI Primary

Addresses

Primary practice location

4228 E Towne Blvd
Madison, WI 53704-3704

Mailing address

4228 E Towne Blvd
Madison, WI 53704-3704

Other identifiers 1

IdentifierTypeStateIssuer
3856-35OtherWIOD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20230213001587 WI Practitioner - Optometry 8527430925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye AssociatesGroup PAC ID 5395633580, 25 clinicians

Practice addresses (Care Compare)

21 Park PL
Appleton, WI 54914-8872
Phone (920) 739-4361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3856-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Contact LLC Optometrist CurrentSince Dec 16, 2022 Accepting new patients
Valley Eye Associates Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Park Place Optical, LTD PastSince Dec 1, 2024 Accepting new patients
Stellar Eye Care SC Optometrist Past Accepting new patients

Locations

1301 E Northland Ave
Ste A
Appleton, WI 54911
Phone 9207348714 ext. 116

21 Park Pl
Appleton, WI 54914
Phone (920) 739-4361

4648 W Spencer St
Appleton, WI 54914
Phone (920) 731-7557

4228 E Towne Blvd
Madison, WI 53704
Phone (608) 241-3737

7428 Mineral Point Rd
Madison, WI 53717
Phone (608) 833-3937

846 E Washington Ave
#101
Madison, WI 53703
Phone (608) 241-3737

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

Organizations & group practices 4

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1952015968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 E TOWNE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 E TOWNE BLVD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043704",
            "telephone_number": "608-241-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKAL",
        "first_name": "ZACHARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3856-35",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "3856-35",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.