Provider Demographics
NPI:1073523775
Name:ZWOLENSKY, CYNTHIA LYNN (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:LYNN
Last Name:ZWOLENSKY
Suffix:
Gender:F
Credentials:OPTOMETRIST
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:LYNN
Other - Last Name:POLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:ANMOORE
Mailing Address - State:WV
Mailing Address - Zip Code:26323-0056
Mailing Address - Country:US
Mailing Address - Phone:304-624-3937
Mailing Address - Fax:304-623-1189
Practice Address - Street 1:67 CASINO DR, SUITE 102
Practice Address - Street 2:ANMOORE
Practice Address - City:ANMOORE
Practice Address - State:WV
Practice Address - Zip Code:26323
Practice Address - Country:US
Practice Address - Phone:304-624-3937
Practice Address - Fax:304-623-1189
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1035OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist