Healthcare Provider Details

I. General information

NPI: 1265352660
Provider Name (Legal Business Name): ALEXANDER ZOIS TZEPOS OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 NEW HAVEN RD
SEYMOUR CT
06483-3405
US

IV. Provider business mailing address

25 NEW HAVEN RD
SEYMOUR CT
06483-3405
US

V. Phone/Fax

Practice location:
  • Phone: 203-888-9532
  • Fax: 203-888-1733
Mailing address:
  • Phone: 203-888-9532
  • Fax: 203-888-1733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3484
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: