Provider Demographics
NPI:1467611483
Name:ZAPATA, HUGO (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4025 JUNCTION BLVD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-2101
Mailing Address - Country:US
Mailing Address - Phone:718-457-0400
Mailing Address - Fax:
Practice Address - Street 1:4025 JUNCTION BLVD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-2101
Practice Address - Country:US
Practice Address - Phone:718-457-0400
Practice Address - Fax:718-458-8023
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYC006036-1156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician