Provider Demographics
NPI:1750306684
Name:ZAMORA, DEBBIE ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:ANN
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:893 N I H 35
Mailing Address - Street 2:STE. 110
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-4309
Mailing Address - Country:US
Mailing Address - Phone:512-248-2424
Mailing Address - Fax:512-248-1323
Practice Address - Street 1:893 N I H 35
Practice Address - Street 2:STE. 110
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-4309
Practice Address - Country:US
Practice Address - Phone:512-248-2424
Practice Address - Fax:512-248-1323
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6132TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU87153Medicare UPIN
TX81352EMedicare PIN