Todd Kenneth Zuber, O.D.
Individual provider Active NPI Optometrist · Timnath, CO
NPI 1346432291 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1346432291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2650 (CO)
- Practice address
- 4705 Weitzel Street
Optometry Clinic
Timnath, CO 80547-8959 - Phone
- (970) 416-6130
- Fax
- (970) 416-6129
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3088-035 | WI | MD | Optometrist |
| 2650 | CO | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3088-035 | WI | |
| Optometrist | 152W00000X | 2650 | CO | Yes |
Addresses
Primary practice location
4705 Weitzel Street
Optometry Clinic
Timnath, CO 80547-8959
Mailing address
862 Campfire Dr
Fort Collins, CO 80524-1992
Phone (312) 371-2258
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04573277 | Medicaid | CO | |
| 38632400 | Medicaid | WI |
Other providers in Timnath, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.