=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265837173
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR. JOHN ZOUMIS LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/04/2014
-----------------------------------------------------
Last Update Date | 04/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2016 MILLENNIUM BLVD
-----------------------------------------------------
City | CORTLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44410-9173
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-207-0150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2016 MILLENNIUM BLVD
-----------------------------------------------------
City | CORTLAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44410-9173
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-207-0150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPTOMETRIST
-----------------------------------------------------
Name | DR. JOHN J ZOUMIS
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 330-207-0150
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 5530
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------