MEDICARE: TIMOTHY J ZEIGLER OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC 3412	FL

General Provider Information

NPI Number	:	1174701619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY J ZEIGLER OD PA

Provider Business Mailing Address
First Line	:	1819 S UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5805
Country	:	US
Telephone Number	:	954-577-7272
Fax Number	:	954-577-5353

Provider Business Practice Location Address
First Line	:	1819 S UNIVERSITY DR
Second Line	:
City	:	DAVIE
State	:	FL
Zip	:	33324-5805
Country	:	US
Telephone Number	:	954-577-7272
Fax Number	:	954-577-5353

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	DR. TIMOTHY ZEIGLER
Credential	:	OD
Telephone Number	:	954-577-7272

Provider Enumeration Date	:	02/06/2008
Last Update Date	:	02/05/2025

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