Provider Demographics
NPI:1265837173
Name:DR. JOHN ZOUMIS LTD
Entity Type:Organization
Organization Name:DR. JOHN ZOUMIS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZOUMIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-207-0150
Mailing Address - Street 1:2016 MILLENNIUM BLVD
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-9173
Mailing Address - Country:US
Mailing Address - Phone:330-207-0150
Mailing Address - Fax:
Practice Address - Street 1:2016 MILLENNIUM BLVD
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9173
Practice Address - Country:US
Practice Address - Phone:330-207-0150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5530152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty