Provider Demographics
NPI:1508815994
Name:CZINDER, JOSEPH (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:CZINDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:JD
Other - Middle Name:
Other - Last Name:CZINDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 1178
Mailing Address - Street 2:
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-0178
Mailing Address - Country:US
Mailing Address - Phone:231-796-6604
Mailing Address - Fax:231-796-0688
Practice Address - Street 1:303 ELM ST
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-1813
Practice Address - Country:US
Practice Address - Phone:231-796-6604
Practice Address - Fax:231-796-0688
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002299152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T33250Medicare UPIN
MIMI4740001Medicare PIN