Provider Demographics
NPI:1134526916
Name:DR Z EYECARE
Entity type:Organization
Organization Name:DR Z EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:ZINK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-489-2020
Mailing Address - Street 1:5503 N WALL ST STE A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-6402
Mailing Address - Country:US
Mailing Address - Phone:509-489-2020
Mailing Address - Fax:509-489-3387
Practice Address - Street 1:5503 N WALL ST STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-6402
Practice Address - Country:US
Practice Address - Phone:509-489-2020
Practice Address - Fax:509-489-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-22
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3277TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8937607Medicare PIN