MEDICARE: ZZB INC

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	156FX1800X	Optician

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	:	1902955834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZZB INC

Provider Business Mailing Address
First Line	:	832 EAST MAIN STREET
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-4316
Country	:	US
Telephone Number	:	765-935-1808
Fax Number	:	765-962-3944

Provider Business Practice Location Address
First Line	:	3757 EAST MAIN STREET
Second Line	:
City	:	RICHMOND
State	:	IN
Zip	:	47374-3614
Country	:	US
Telephone Number	:	765-935-4193
Fax Number	:	765-935-4410

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	BRITNEY LOUISE PRIEST
Credential	:
Telephone Number	:	765-962-9898

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	06/18/2008

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Directions to “ZZB INC ” Practice Location

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