Provider Demographics
NPI:1336904796
Name:ZELENAK EYE INSTITUTE PLLC
Entity Type:Organization
Organization Name:ZELENAK EYE INSTITUTE PLLC
Other - Org Name:ZELENAK EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELENAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-232-1777
Mailing Address - Street 1:28004 CENTER OAKS CT STE 200
Mailing Address - Street 2:
Mailing Address - City:WIXOM
Mailing Address - State:MI
Mailing Address - Zip Code:48393-3360
Mailing Address - Country:US
Mailing Address - Phone:248-232-1777
Mailing Address - Fax:
Practice Address - Street 1:28004 CENTER OAKS CT STE 200
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-3360
Practice Address - Country:US
Practice Address - Phone:248-232-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-15
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty