Provider Demographics
NPI:1245472745
Name:CYNTHIA L. ZWOLENSKY, O.D., PLLC
Entity type:Organization
Organization Name:CYNTHIA L. ZWOLENSKY, O.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ZWOLENKSY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-624-3937
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:ANMOORE
Mailing Address - State:WV
Mailing Address - Zip Code:26323-0056
Mailing Address - Country:US
Mailing Address - Phone:304-624-3937
Mailing Address - Fax:304-623-1189
Practice Address - Street 1:67 CASINO DRIVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ANMOORE
Practice Address - State:WV
Practice Address - Zip Code:26323
Practice Address - Country:US
Practice Address - Phone:304-624-3937
Practice Address - Fax:304-623-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1035OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1073523775OtherNPI