Provider Demographics
NPI:1568545424
Name:ZAHLER, DOUGLAS F (OD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:F
Last Name:ZAHLER
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 1:4100 BELDEN VILLAGE ST. N.W.
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2510
Mailing Address - Country:US
Mailing Address - Phone:330-492-9502
Mailing Address - Fax:330-494-5691
Practice Address - Street 1:4100 BELDEN VILLAGE ST. N.W.
Practice Address - Street 2:SEARS BUILDING
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2510
Practice Address - Country:US
Practice Address - Phone:330-492-9502
Practice Address - Fax:330-494-5691
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3447/T320152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0426935Medicaid
OHT 47362Medicare UPIN
OHZA0502451Medicare ID - Type Unspecified