Healthcare Provider Details

I. General information

NPI: 1235219338
Provider Name (Legal Business Name): WINBIGLER & ZITKO OPTOMETRISTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 03/08/2021
Certification Date: 03/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 SANDUSKY ST
PLYMOUTH OH
44865-1170
US

IV. Provider business mailing address

466 S TRIMBLE RD
MANSFIELD OH
44906-3416
US

V. Phone/Fax

Practice location:
  • Phone: 419-756-8000
  • Fax: 419-756-2601
Mailing address:
  • Phone: 419-756-8000
  • Fax: 419-756-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3 DR'S IN LOCATION
License Number StateOH

VIII. Authorized Official

Name: JONATHAN M SKARIE
Title or Position: OWNER
Credential: MD
Phone: 419-756-8000