Healthcare Provider Details

I. General information

NPI: 1528057023
Provider Name (Legal Business Name): GENE VICTOR ZANETTI OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 08/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 E SILVER SPRINGS BLVD
OCALA FL
34470
US

IV. Provider business mailing address

2050 E SILVER SPRINGS BLVD
OCALA FL
34470
US

V. Phone/Fax

Practice location:
  • Phone: 352-629-3009
  • Fax: 352-620-2812
Mailing address:
  • Phone: 352-629-3009
  • Fax: 352-620-2812

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1323
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: