ZACKARY HART (OD) – Optometrist, NPI 1144952474

ZACKARY HART (OD) is a healthcare provider. based in Indianapolis, Indiana. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD61437237 (WA). The NPI Number for ZACKARY HART (OD) is 1144952474

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ZACKARY HART (OD)
NPI
1144952474
Phone
(714) 809-8665
Address
6608 BLACK ANTLER CIR
Enumeration Date
27 June 2022
Last Update Date
4 August 2023

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
2064640472
Graduation Year
2022 (4 years ago)
PAC ID
4789063371
Group Practice PAC ID
3476927997
Professional Enrollment ID
I20230802002632
Address ID
WA981223609SE301XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,126 OPTOMETRY in IN

Provider Addresses for ZACKARY HART (OD)

  • 6608 BLACK ANTLER CIR

    INDIANAPOLIS, IN 462177081

    Phone: (714) 809-8665

    Type: Mailing

  • 1160 W MICHIGAN ST STE 100

    INDIANAPOLIS, IN 462025209

    Phone: (317) 278-1470

    Type: Location

  • 8009 S 180TH ST STE 104

    KENT, WA 980321042

    Phone: (425) 251-9200

    Fax: (425) 251-9201

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $466.

Total Amount is formed as General ($466) + Research ($0) + Ownership ($0) = $466.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: CooperVision Inc. ($395).

Total Amount

$466

General + Research + Ownership

Payments

10

Total payment records

General Amount

$466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

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: 2023-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220628003067IOptometryINTBD
I20230802002632IOptometryWATBD

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
92014Established patient complete exam of visual system3131$0
99213Established patient office or other outpatient visit, 20-29 minutes2422$0
92004New patient complete exam of visual system1212$0
92133Imaging of optic nerve1111$0
View full utilization report →

Insurance plans in this area (ZIP 46217)

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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: 3476927997View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YOR
O P T O M E T R YUT
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA
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

How is ZACKARY HART (OD) identified in CMS data?
CMS-hosted NPPES data lists ZACKARY HART (OD) with NPI 1144952474.
Does the file indicate ZACKARY HART (OD) is practicing under active NPI?
Directory data currently reports ZACKARY HART (OD) as active.
What taxonomy line describes ZACKARY HART (OD)?
For research purposes, treat ZACKARY HART (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ZACKARY HART (OD)?
ZACKARY HART (OD)'s geographic hint is Indianapolis, Indiana in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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