Provider Demographics
NPI:1033341029
Name:ALONSO ZIEJA, ISABEL (OD)
Entity Type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:
Last Name:ALONSO ZIEJA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ISABEL
Other - Middle Name:
Other - Last Name:ALONSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:99 US ROUTE 1 BYP
Mailing Address - Street 2:STE A
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1792
Mailing Address - Country:US
Mailing Address - Phone:207-439-0410
Mailing Address - Fax:207-439-0410
Practice Address - Street 1:99 US ROUTE 1 BYP
Practice Address - Street 2:STE A
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-1792
Practice Address - Country:US
Practice Address - Phone:207-439-0410
Practice Address - Fax:207-439-8353
Is Sole Proprietor?:No
Enumeration Date:2009-08-10
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH833152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist