Provider Demographics
NPI:1518940485
Name:ZEHNDER, DAVID W (OD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:ZEHNDER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 CASTLETON WAY
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1301
Mailing Address - Country:US
Mailing Address - Phone:740-363-2015
Mailing Address - Fax:740-369-2408
Practice Address - Street 1:1832 CASTLETON WAY
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1301
Practice Address - Country:US
Practice Address - Phone:740-363-2015
Practice Address - Fax:740-369-2408
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3904T713152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZE0602202Medicare ID - Type Unspecified
T48612Medicare UPIN