MEDICARE: DR. TIMOTHY J ZEIGLER OD

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	:	1851305684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY J ZEIGLER OD

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

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	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	02/05/2025

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