Provider Demographics
NPI:1497952972
Name:ZINGARO, VINCENT JOHN (OD)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:JOHN
Last Name:ZINGARO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12 GENERAL WARREN BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1263
Mailing Address - Country:US
Mailing Address - Phone:610-448-9910
Mailing Address - Fax:610-488-9908
Practice Address - Street 1:12 GENERAL WARREN BLVD STE 700
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-1263
Practice Address - Country:US
Practice Address - Phone:610-448-9910
Practice Address - Fax:610-488-9908
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001961152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist