ZACHARY W. SOUSA OD
NPI 1578182192
Optometrist in Seekonk, MA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
15 HIGHLAND AVE, SEEKONK, MA 02771(508) 336-4096 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Jul 8, 2020, Apr 14, 2020 (3 updates tracked since 2020).

About Zachary W. Sousa Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY W. SOUSA OD (NPI 1578182192) is an individual optometrist in Seekonk, Massachusetts, licensed in Massachusetts (5404) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of New England College Of Optometry (2020).

NPPES Registry Identity

NPI1578182192
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameZACHARY W. SOUSACredential: OD
Location Address15 HIGHLAND AVESeekonk, MA 02771-5805
Mailing Address129 Haskell St # 1Fall River, MA 02720-4512 · (508) 493-5494
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1578182192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in MA · 5404✔ Licensed in RI · ODTG00700
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
15 HIGHLAND AVE, Seekonk, MA 02771

Secondary Practice Location 1

Location 1335R Prairie Ave Fl 2Providence, RI 02905-2426 · Phone (401) 444-0422 · Fax (401) 444-0427

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary W. Sousa Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800214149
PECOS Enrollment IDI20200917002213, I20200917002752
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Zachary Sousa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
375 ALLENS AVE
Providence, RI 02905
  • Reassigned Medicare billing, Rhode Island enrollment
  • 112 clinicians in this Medicare group
Optometrist
1400 OAKLAWN AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • 20 clinicians in this Medicare group
Optometrist
1193 TIOGUE AVE
Coventry, RI 02816
  • Reassigned Medicare billing, Rhode Island enrollment
  • 5 clinicians in this Medicare group
Optometrist
751 PROVIDENCE HWY, US ROUTE 1 DEDHAM PLAZA
Dedham, MA 02026
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Mass Optometric Associates, PLLC
  • 98 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
94 services94 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
15 HIGHLAND AVE
SEEKONK, MA 02771
Eyewear Supplier
15 HIGHLAND AVE
SEEKONK, MA 02771
Optometrist
15 HIGHLAND AVE
SEEKONK, MA 02771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Sousa's NPI number?

The NPI number for Zachary Sousa is 1578182192. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Zachary Sousa located?

Zachary Sousa practices at 15 Highland Ave, Seekonk, MA 02771. The listed phone number is (508) 336-4096.

What is Zachary Sousa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Zachary Sousa enrolled in Medicare?

Yes. Zachary Sousa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Zachary Sousa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Sousa reassigns Medicare benefits to 4 organizations: The Providence Community Health Centers, Inc (Providence, RI), Rhode Island Optometrics, LLC (Cranston, RI), Prytula Eye Associates Inc (Coventry, RI) and Mass Optometric Associates, P.C. (Dedham, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Sousa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Zachary Sousa accept?

Health plans from Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Zachary Sousa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Zachary Sousa was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.