Provider Demographics
NPI:1275815359
Name:ZIMMER, ALLISON D (OD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:D
Last Name:ZIMMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:D
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:N6663 ROLLING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54937-9501
Mailing Address - Country:US
Mailing Address - Phone:920-921-8290
Mailing Address - Fax:
Practice Address - Street 1:1340 N WENATCHEE AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801
Practice Address - Country:US
Practice Address - Phone:509-663-8868
Practice Address - Fax:509-663-9006
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1374152W00000X
KS1902152W00000X
IA002534152W00000X
WA60843017152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist