Provider Demographics
NPI:1679851828
Name:ZIGLER, JENNA LORRAINE (OD)
Entity Type:Individual
Prefix:DR
First Name:JENNA
Middle Name:LORRAINE
Last Name:ZIGLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JENNA
Other - Middle Name:LORRAINE
Other - Last Name:STELZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:206 FRANKFORT SQ
Mailing Address - Street 2:COLUMBUS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43206-1059
Mailing Address - Country:US
Mailing Address - Phone:614-425-8354
Mailing Address - Fax:614-876-6311
Practice Address - Street 1:5200 WEST POINTE PLAZA
Practice Address - Street 2:COLUMBUS
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228
Practice Address - Country:US
Practice Address - Phone:614-876-6747
Practice Address - Fax:614-876-6311
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6076152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist