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NPI Code Detail

MEDICARE: CARYN ZIMMERMAN OD

MEDICARE:   CARYN  ZIMMERMAN  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist0618003543VA
2152W00000XOptometristOP2000599DC

General Provider Information

NPI Number : 1104493428
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARYN ZIMMERMAN OD
Provider Business Mailing Address
First Line : 1101 S JOYCE ST STE B7
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2091
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S JOYCE ST STE B7
Second Line :
City : ARLINGTON
State : VA
Zip : 22202-2091
Country : US
Telephone Number : 703-418-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2021
Last Update Date : 01/22/2026

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Directions to “ CARYN ZIMMERMAN OD” Practice Location

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