Provider Demographics
NPI:1225289234
Name:ZAMBRANO, REBECCA MARIA (OD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MARIA
Last Name:ZAMBRANO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:140 JOE B JACKSON PKWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37127-7228
Mailing Address - Country:US
Mailing Address - Phone:615-203-9165
Mailing Address - Fax:615-867-7499
Practice Address - Street 1:140 JOE B JACKSON PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127-7228
Practice Address - Country:US
Practice Address - Phone:615-203-9165
Practice Address - Fax:615-867-7499
Is Sole Proprietor?:No
Enumeration Date:2008-10-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOD0000002818152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist