Provider Demographics
NPI:1922391903
Name:ZAUNBRECHER, AMBER C (OD)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:C
Last Name:ZAUNBRECHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 PEACHTREE RD NE
Mailing Address - Street 2:SUITE D2
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-1222
Mailing Address - Country:US
Mailing Address - Phone:404-816-6266
Mailing Address - Fax:404-816-8047
Practice Address - Street 1:3500 PEACHTREE RD NE
Practice Address - Street 2:SUITE D2
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1222
Practice Address - Country:US
Practice Address - Phone:404-816-6266
Practice Address - Fax:404-816-8047
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALT-205-TA-884152W00000X
GAOPT002713152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist