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Contact Information

ETHAN ZIMMERMAN, OD
901 MOPAC EXPRESSWAY SOUTH, BARTON OAKS PLAZA 4
SUITE 350
AUSTIN, TX78746
 Phone: 512-347-0255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ETHAN ZIMMERMAN · (Male)

NPI Number 1366053175
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 08/14/2020
Last updated 11/18/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 10085T
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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