Provider Demographics
NPI:1033636576
Name:ZUMBERGER, CHAD (OD)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:ZUMBERGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 GLENDALE MILFORD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-3131
Mailing Address - Country:US
Mailing Address - Phone:513-922-9000
Mailing Address - Fax:513-922-4050
Practice Address - Street 1:5303 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-3706
Practice Address - Country:US
Practice Address - Phone:513-921-8040
Practice Address - Fax:513-921-6483
Is Sole Proprietor?:No
Enumeration Date:2017-08-25
Last Update Date:2017-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6592152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist