Provider Demographics
NPI:1033474218
Name:ZOECKLER, BRANDON THOMAS (OD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:THOMAS
Last Name:ZOECKLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:40820 WINCHESTER RD
Mailing Address - Street 2:ST 1360
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5525
Mailing Address - Country:US
Mailing Address - Phone:951-296-0328
Mailing Address - Fax:951-296-0342
Practice Address - Street 1:40820 WINCHESTER RD
Practice Address - Street 2:ST 1360
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5525
Practice Address - Country:US
Practice Address - Phone:951-296-0328
Practice Address - Fax:951-296-0342
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2017-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14486152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist