Provider Demographics
NPI:1912257247
Name:ENGLE, ZACHARY ROBERT (OD)
Entity Type:Individual
Prefix:
First Name:ZACHARY
Middle Name:ROBERT
Last Name:ENGLE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4351 THE CIRCLE AT NORTH HILLS ST
Mailing Address - Street 2:STE 107
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5751
Mailing Address - Country:US
Mailing Address - Phone:919-782-9091
Mailing Address - Fax:919-782-9135
Practice Address - Street 1:419 CROSS CREEK MALL
Practice Address - Street 2:STE 302
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-7285
Practice Address - Country:US
Practice Address - Phone:919-782-9091
Practice Address - Fax:919-782-9135
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2276152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist