Judith a Zellers OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1708 Issued in FL

Legal business name

JUDITH A ZELLERS OD PA

Doing business as

Bonita Eye Center

Practice address

3925 Bonita Beach Rd
Bonita Springs, FL 34134-4112

Phone

(239) 947-6000

Fax

(239) 947-3914

NPI assigned

Dec 11, 2006

Last updated

May 12, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Judith Ann Zellers, O.D.NPI 1306912217

Title

Owner

Phone

(239) 947-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bonita Eye Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Ann Zellers, O.D.

  • Optometrist
  • Bonita Springs, FL
  • NPI 1306912217
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1528128667",
    "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": {
        "organization_name": "JUDITH A ZELLERS OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "ZELLERS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-947-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078433800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPC1708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonita Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Juan C Rodriguez DMD (Bonita Family Dentistry)
• Miguel Angel Jusino, DMD, MS
• Ram Prasad Kafle, M.D.
• Laura Ann Kaiser, D.M.D.
• Shancy Varghese Kanacheril, PHARMD
• Agop Karamanian, MD

• Optometrist in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.