Provider Demographics
NPI:1093740623
Name:ZINK, HARRY A (MD)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:A
Last Name:ZINK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3519 FRIENDSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-1241
Mailing Address - Country:US
Mailing Address - Phone:330-345-7200
Mailing Address - Fax:330-345-8029
Practice Address - Street 1:3519 FRIENDSVILLE RD
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-1241
Practice Address - Country:US
Practice Address - Phone:330-345-7200
Practice Address - Fax:330-345-8029
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.039232207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0305806Medicaid
A75575Medicare UPIN
0422033Medicare PIN
0422032Medicare PIN
OH0305806Medicaid