| NPI | 1174617757 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-10-03 |
| Last Updated | 2008-04-20 |
| Authorized Official | Joseph Zelasko optometrist Phone: 2534750374 |
| Mailing Address | 4826 Tacoma Mall Blvd Ste A Tacoma, WA 98409-7108 United States Phone: (253) 475-0374 | Fax: (253) 475-9291 📍 View Map |
| Primary Practice Address | 4826 Tacoma Mall Blvd Ste A Tacoma, WA 98409-7108 United States Phone: (253) 475-0374 | Fax: (253) 475-9291 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | WA | 2008811 | - |
| MEDICAID | WA | 2031144 | - |
| MEDICAID | WA | 2031151 | - |
| Other (non-Medicare) | WA | ========= | tax id number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | WA | OD0001689 |
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About NPI 1174617757
Joseph J. Zelasko Od Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174617757. The primary specialty listed is Optometrist. The organization is located in Tacoma, WA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-10-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1174617757?
NPI 1174617757 belongs to Joseph J. Zelasko Od Pc, a Optometrist in Tacoma, WA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1174617757 active?
The current status of NPI 1174617757 in the NPPES registry is Active. The record was last updated on 2008-04-20.
What specialty is NPI 1174617757?
NPI 1174617757 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1174617757?
You can verify NPI 1174617757 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1174617757?
The primary practice address on file for NPI 1174617757 is 4826 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7108. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1174617757 issued?
NPI 1174617757 was first issued (enumerated) on 2006-10-03. The NPPES record was last updated on 2008-04-20.
Practice Location Map
Joseph J. Zelasko Od Pc is located at 4826 Tacoma Mall Blvd Ste A, Tacoma, WA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Joseph J. Zelasko Od Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1174617757. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | OD0001689 | WA |