Provider Demographics
NPI:1972283737
Name:RUIZ, ZARINA XIOMARA (OPTICIAN)
Entity Type:Individual
Prefix:MISS
First Name:ZARINA
Middle Name:XIOMARA
Last Name:RUIZ
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 BLACK HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1960
Mailing Address - Country:US
Mailing Address - Phone:856-310-0471
Mailing Address - Fax:
Practice Address - Street 1:130 BLACK HORSE PIKE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1960
Practice Address - Country:US
Practice Address - Phone:856-310-0471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician