Healthcare Provider Details

I. General information

NPI: 1750909800
Provider Name (Legal Business Name): HANNAH MEDWIN ZELLNER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 NIAGARA FALLS BLVD STE 200
AMHERST NY
14228-2423
US

IV. Provider business mailing address

1569 NIAGARA FALLS BLVD
AMHERST NY
14228-2849
US

V. Phone/Fax

Practice location:
  • Phone: 716-833-0803
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV009202
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: