Sidney J. Zuzelski OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901002614 Issued in MI

Legal business name

SIDNEY J. ZUZELSKI OD PC

Practice address

762 W Michigan Ave
Jackson, MI 49201-1978

Phone

(517) 782-8353

Fax

(517) 787-9410

NPI assigned

Feb 18, 2007

Organization subpart

No

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

Authorized official

Name

Sidney John Zuzelski, OD

Title

President

Phone

(517) 782-8353

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1851435267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-782-8353",
            "fax_number": "517-787-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011978",
            "telephone_number": "517-782-8353",
            "fax_number": "517-787-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY J. ZUZELSKI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "ZUZELSKI",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-782-8353",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558826",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hussein Mohamad Shukr, MD
• Barbara H Shumard, LMSW
• Karlie Renae Shumway, MD
• Rebekah Anne Shurboff
• Lauren Siciliano
• Wolfgang Sieber, D.C.
• Brandi Siemers
• Teresa Lynn Sienkiewicz, FNP
• Kelly M Sigler, M.A., LPC
• Jill Nicola Silence, NP

• Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.