MEDICARE: ZESER FAMILY EYECARE INC

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	3094/T669	OH

General Provider Information

NPI Number	:	1255514808
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZESER FAMILY EYECARE INC

Provider Business Mailing Address
First Line	:	3351 DAYTON XENIA RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2763
Country	:	US
Telephone Number	:	937-429-0266
Fax Number	:	937-429-9022

Provider Business Practice Location Address
First Line	:	3351 DAYTON XENIA RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45432-2763
Country	:	US
Telephone Number	:	937-429-0266
Fax Number	:	937-429-9022

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JONATHON ROBERT ZESER
Credential	:	O.D.
Telephone Number	:	937-429-0266

Provider Enumeration Date	:	12/06/2007
Last Update Date	:	04/01/2024

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