Provider Demographics
NPI:1275262602
Name:ROJAS FILIPPO, ZORIMAR
Entity Type:Individual
Prefix:
First Name:ZORIMAR
Middle Name:
Last Name:ROJAS FILIPPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W NEW CIRCLE RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-1833
Mailing Address - Country:US
Mailing Address - Phone:859-381-0910
Mailing Address - Fax:859-381-1271
Practice Address - Street 1:500 W NEW CIRCLE RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-1833
Practice Address - Country:US
Practice Address - Phone:859-381-0910
Practice Address - Fax:859-381-1271
Is Sole Proprietor?:No
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY110430156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician