Provider Demographics
NPI:1770786295
Name:ZAIONIT, ADI (OD)
Entity type:Individual
Prefix:DR
First Name:ADI
Middle Name:
Last Name:ZAIONIT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4664 ASHFORD CLUB DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5500
Mailing Address - Country:US
Mailing Address - Phone:404-729-0662
Mailing Address - Fax:
Practice Address - Street 1:3264 BUFORD DR
Practice Address - Street 2:SUITE 100-A
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-8764
Practice Address - Country:US
Practice Address - Phone:678-395-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1784152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1784OtherOD LICENSE NUMBER