Provider Demographics
NPI:1780699637
Name:ZUBIZARRETA, NOEMI (OD)
Entity type:Individual
Prefix:DR
First Name:NOEMI
Middle Name:
Last Name:ZUBIZARRETA
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 1:11735 SW 147TH AVE UNIT 16
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3330
Mailing Address - Country:US
Mailing Address - Phone:786-953-8200
Mailing Address - Fax:786-322-2317
Practice Address - Street 1:11735 SW 147TH AVE UNIT 16
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3330
Practice Address - Country:US
Practice Address - Phone:786-953-8200
Practice Address - Fax:786-953-8647
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4082152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77461Medicare ID - Type Unspecified