Provider Demographics
NPI:1619180882
Name:DR. DAVID ZEHNDER & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:DR. DAVID ZEHNDER & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:ZEHNDER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-363-2015
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3904 T713152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHT48612Medicare UPIN
OHDR9334941Medicare ID - Type Unspecified