Provider Demographics
NPI:1043290893
Name:ZEBER, RICHARD (OD (OPTOMETRIST))
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:ZEBER
Suffix:
Gender:M
Credentials:OD (OPTOMETRIST)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3532 QUIMBY STREET
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106
Mailing Address - Country:US
Mailing Address - Phone:619-524-5511
Mailing Address - Fax:619-524-1731
Practice Address - Street 1:3532 QUIMBY ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-1840
Practice Address - Country:US
Practice Address - Phone:619-524-5511
Practice Address - Fax:619-524-1731
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4977 1847T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist