Provider Demographics
NPI:1053303263
Name:ZORN, STEVEN J (OD PA)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:ZORN
Suffix:
Gender:M
Credentials:OD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8889 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6951
Mailing Address - Country:US
Mailing Address - Phone:407-298-4631
Mailing Address - Fax:407-298-3311
Practice Address - Street 1:8889 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6951
Practice Address - Country:US
Practice Address - Phone:407-298-4631
Practice Address - Fax:407-298-3311
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC1709152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078866000Medicaid
FL19118XMedicare PIN
FL078866000Medicaid