Armando Jerry Zelada, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1808ATI Issued in OR

Practice address

2480 NE Fremont St
Portland, OR 97212-2509

Phone

(503) 284-3937

Fax

(503) 281-5711

NPI assigned

Nov 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• PDX Eye and Vision Care LLC

  • Optometrist
  • Portland, OR
  • NPI 1326594987
  NPD

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1992796668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122509",
            "telephone_number": "503-284-3937",
            "fax_number": "503-281-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122509",
            "telephone_number": "503-284-3937",
            "fax_number": "503-281-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELADA",
        "first_name": "ARMANDO",
        "middle_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1808ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008479",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410018909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlee Victoria Zeiler, MS, RDN, LD
• Stephen J Zeimantz, NP
• Lana Blue Zeitler, LE
• Vicki A Zeitner
• Tracy Yvonne Zeitz, RDN, CSR, LD
• Jeffrey A Zelasko, D.C.
• Erica Yosefah Zelfand, N.D.
• Kaitlyn Zelhart, PT, DPT
• John Robert Zelko, MD
• Andrew Zell

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.