Provider Demographics
NPI:1295414076
Name:ZAVALA, LINDSEY ERIN (OD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:ERIN
Last Name:ZAVALA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:ERIN
Other - Last Name:SAATHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11219 Y ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-4658
Mailing Address - Country:US
Mailing Address - Phone:402-651-3728
Mailing Address - Fax:
Practice Address - Street 1:201 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-1373
Practice Address - Country:US
Practice Address - Phone:712-263-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-18
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1621152W00000X
IA128697152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist