Provider Demographics
NPI:1306008545
Name:EDWARD M. ZIMM, P.C.
Entity Type:Organization
Organization Name:EDWARD M. ZIMM, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:ZIMM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-453-4575
Mailing Address - Street 1:300 STATE ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16507-1427
Mailing Address - Country:US
Mailing Address - Phone:814-453-4575
Mailing Address - Fax:814-459-3885
Practice Address - Street 1:300 STATE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-1427
Practice Address - Country:US
Practice Address - Phone:814-453-4575
Practice Address - Fax:814-459-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014072207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty