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NPI Code Detail

MEDICARE: JOHN W ZAHARA O.D.

MEDICARE: JOHN W ZAHARA 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
1152W00000XOptometrist2928T981OH

General Provider Information

NPI Number : 1285730408
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN W ZAHARA O.D.
Provider Business Mailing Address
First Line : 4877 CARRIGAN RIDGE DR
Second Line :
City : DUBLIN
State : OH
Zip : 43017-8617
Country : US
Telephone Number : 614-875-8373
Fax Number : 614-875-0974
Provider Business Practice Location Address
First Line : 3959 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2839
Country : US
Telephone Number : 614-875-8373
Fax Number : 614-875-0974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 11/29/2011

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