Provider Demographics
NPI:1891925988
Name:ZAPORSKI CUMMINGS, KAELYN K (OD)
Entity Type:Individual
Prefix:DR
First Name:KAELYN
Middle Name:K
Last Name:ZAPORSKI CUMMINGS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAELYN
Other - Middle Name:K
Other - Last Name:ZAPORSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:325 E CHICAGO ST
Mailing Address - Street 2:STE 100
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5836
Mailing Address - Country:US
Mailing Address - Phone:414-727-5888
Mailing Address - Fax:414-727-5889
Practice Address - Street 1:325 E CHICAGO ST
Practice Address - Street 2:STE 100
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5836
Practice Address - Country:US
Practice Address - Phone:414-727-5888
Practice Address - Fax:414-727-5889
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3152-035152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist