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DR. PETER JOSEPH ZANELLA JR. OD
NPI 1962464446
Optometrist in Southlake, TX

Active since April 03, 2006PECOS Enrolled
2111 KIRKWOOD BLVD STE 100, SOUTHLAKE, TX 76092(817) 416-2010(817) 416-2013 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Joseph Zanella Jr. Od NPPES

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

DR. PETER JOSEPH ZANELLA JR. OD (NPI 1962464446) is an individual optometrist in Southlake, Texas, licensed in Texas (6868T) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962464446
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PETER JOSEPH ZANELLA JR.Credential: OD
Location Address2111 KIRKWOOD BLVD STE 100Southlake, TX 76092-1461
Mailing Address2111 Kirkwood Blvd Ste 100Southlake, TX 76092-1461 · (817) 416-2010 · Fax (817) 416-2013
Phone(817) 416-2010
Fax(817) 416-2013
Sole ProprietorNo
Enumeration DateApril 3, 2006
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1962464446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 6868T
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.
2111 KIRKWOOD BLVD STE 100, Southlake, TX 76092
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Peter Joseph Zanella Jr. Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Peter Zanella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aeg Texas Professional PLLC
233 mi
Optometrist
205B W WATER ST
Kerrville, TX 78028
  • Reassigned Medicare billing, Texas enrollment
  • 404 clinicians in this Medicare group
NPI 1457905937 (830) 896-2600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76092 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

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

AEG TEXAS PROFESSIONAL PLLC
Optometrist
2111 KIRKWOOD BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 416-2010
DR. TAYLOR ROBERTSON BROOKS O.D.
Optometrist
2111 KIRKWOOD BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 416-2010

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 Peter Zanella's NPI number?

The NPI number for Peter Zanella is 1962464446. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Peter Zanella located?

Peter Zanella practices at 2111 Kirkwood Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 416-2010.

What is Peter Zanella's specialty?

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

Is Peter Zanella enrolled in Medicare?

Yes. Peter Zanella is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Zanella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Zanella reassigns Medicare benefits to Aeg Texas Professional PLLC (Kerrville, TX). The 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 Peter Zanella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Zanella was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.