MEDICARE: PATRICIA ZITKO O.D.

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
1	152W00000X	Optometrist	4369	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184733016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA ZITKO O.D.

Provider Business Mailing Address
First Line	:	466 S TRIMBLE RD
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906-3416
Country	:	US
Telephone Number	:	419-756-8000
Fax Number	:	419-756-2601

Provider Business Practice Location Address
First Line	:	76 W MAIN ST
Second Line	:
City	:	SHELBY
State	:	OH
Zip	:	44875-0648
Country	:	US
Telephone Number	:	419-347-1445
Fax Number	:	419-347-8403

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/17/2026

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Directions to “ PATRICIA ZITKO O.D.” Practice Location

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