Healthcare Provider Details

I. General information

NPI: 1295414076
Provider Name (Legal Business Name): LINDSEY ERIN ZAVALA OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY ERIN SAATHOFF

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N MAIN ST
DENISON IA
51442-1373
US

IV. Provider business mailing address

11219 Y ST
OMAHA NE
68137-4658
US

V. Phone/Fax

Practice location:
  • Phone: 712-263-2020
  • Fax:
Mailing address:
  • Phone: 402-651-3728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1621
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number128697
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: