DR. ZACHARY GILES NELSON (OD) – Optometrist, NPI 1164084315

DR. ZACHARY GILES NELSON (OD) is a healthcare provider. based in Sierra vista, Arizona. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT-002354 (AZ). The NPI Number for DR. ZACHARY GILES NELSON (OD) is 1164084315

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZACHARY GILES NELSON (OD)
NPI
1164084315
Phone
(520) 459-7466
Address
440 N HWY 90 BYP STE B3
Enumeration Date
8 July 2019
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604792020
Graduation Year
2019 (7 years ago)
PAC ID
8628303518
Group Practice PAC ID
6204064389
Professional Enrollment ID
I20221209002180
Address ID
WA983103433BR2816XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

847 OPTOMETRY in AZ

Provider Addresses for DR. ZACHARY GILES NELSON (OD)

  • 440 N HWY 90 BYP STE B3

    SIERRA VISTA, AZ 856352295

    Phone: (520) 459-7466

    Type: Location

  • 2816 WHEATON WAY

    BREMERTON, WA 983103433

    Phone: (360) 479-2020

    Type: Mailing

  • 3780, Cabo Cope Drive, Sierra Vista, Cochise County, Arizona, 85650, United States

    SIERRA VISTA, AZ 856501200

    Phone: (586) 405-0540

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $348.

Total Amount is formed as General ($348) + Research ($0) + Ownership ($0) = $348.

Last reported payment date: 2024-11-27 • Largest payer in this snapshot: Alcon Vision LLC ($267).

Total Amount

$348

General + Research + Ownership

Payments

18

Total payment records

General Amount

$348

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-12-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221209002180IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system2525$0
92014Established patient complete exam of visual system1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
92250Photography of the retina1414$0
92083Exam of visual field with extended testing1111$0
View full utilization report →

Insurance plans in this area (ZIP 85635)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204064389View full group profile
NameSpecialtyState
-WA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. ZACHARY GILES NELSON (OD)?
DR. ZACHARY GILES NELSON (OD) — NPI 1164084315 — is the standard way to identify this listing.
Can I rely on DR. ZACHARY GILES NELSON (OD) being an active provider?
As of the registry snapshot, DR. ZACHARY GILES NELSON (OD) is marked active.
What is DR. ZACHARY GILES NELSON (OD)'s primary classification?
Optometrist is the headline specialty for DR. ZACHARY GILES NELSON (OD) here. Clinical services aligned with this taxonomy classification.
Where is DR. ZACHARY GILES NELSON (OD) based?
DR. ZACHARY GILES NELSON (OD) is tied to Sierra Vista, Arizona in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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