Active NPI
Judith Ann Zellers, O.D.
- Optometrist
- Bonita Springs, FL
National Provider Identifier
1306912217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1708
- Practice address
- 3925 Bonita Beach Rd
Bonita Springs, FL 34134-4112 - Phone
- (239) 947-6000
- Fax
- (239) 947-3914
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1708 | FL | Primary |
Addresses
Primary practice location
3925 Bonita Beach Rd
Bonita Springs, FL 34134-4112
Mailing address
3925 Bonita Beach Rd
Bonita Springs, FL 34134-4112
Phone (239) 947-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC1708 | Other | FL | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC1708 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306912217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 BONITA BEACH RD",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344112",
"telephone_number": "239-947-6000",
"fax_number": "239-947-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 BONITA BEACH RD",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344112",
"telephone_number": "239-947-6000",
"fax_number": "239-947-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLERS",
"first_name": "JUDITH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OPC1708",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.