Provider Demographics
NPI:1790933505
Name:STEVEN J ZORN OD PA
Entity Type:Organization
Organization Name:STEVEN J ZORN OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZORN
Authorized Official - Suffix:
Authorized Official - Credentials:OD PA
Authorized Official - Phone:407-298-4631
Mailing Address - Street 1:8889 W COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-6951
Mailing Address - Country:US
Mailing Address - Phone:407-298-4631
Mailing Address - Fax:407-298-3311
Practice Address - Street 1:8889 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-6951
Practice Address - Country:US
Practice Address - Phone:407-298-4631
Practice Address - Fax:407-298-3311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078866000Medicaid
FL19118XMedicare PIN
FLDO9338Medicare PIN