Provider Demographics
NPI:1467215194
Name:JAMES E. ZIMMERMAN, O.D. P.A.
Entity Type:Organization
Organization Name:JAMES E. ZIMMERMAN, O.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:160-925-4300
Mailing Address - Street 1:3599 W. HILLSBORO BLVD.
Mailing Address - Street 2:TARGET OPTICAL DEPARTMENT
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442
Mailing Address - Country:US
Mailing Address - Phone:609-254-3000
Mailing Address - Fax:
Practice Address - Street 1:3599 W. HILLSBORO BLVD.
Practice Address - Street 2:TARGET OPTICAL DEPARTMENT
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442
Practice Address - Country:US
Practice Address - Phone:609-254-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty