Provider Demographics
NPI:1912252149
Name:ZESER, JONATHON ROBERT (OD)
Entity Type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:ROBERT
Last Name:ZESER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3351 DAYTON XENIA RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2763
Mailing Address - Country:US
Mailing Address - Phone:937-429-0266
Mailing Address - Fax:937-429-9370
Practice Address - Street 1:3351 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2763
Practice Address - Country:US
Practice Address - Phone:937-429-0266
Practice Address - Fax:937-429-9022
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6172152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist