Healthcare Provider Details

I. General information

NPI: 1447257852
Provider Name (Legal Business Name): LAMAR G ZIGLER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2005
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 OLENTANGY RIVER RD
COLUMBUS OH
43202-1517
US

IV. Provider business mailing address

3130 OLENTANGY RIVER RD
COLUMBUS OH
43202-1517
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-2020
  • Fax: 614-262-1948
Mailing address:
  • Phone: 614-262-2020
  • Fax: 614-262-1948

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3580/T186
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: