Basic Information
| Provider Information | |||||||||
| NPI: | 1144410705 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ZEITER EYE MEDICAL GROUP, INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 255 E WEBER AVE | ||||||||
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| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952022706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2094665566 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1801 E MARCH LN | ||||||||
| Address2: | SUITE C350 | ||||||||
| City: | STOCKTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 952106629 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2099511178 | ||||||||
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| ProviderEnumerationDate: | 07/30/2007 | ||||||||
| LastUpdateDate: | 02/05/2013 | ||||||||
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| AuthorizedOfficialLastName: | ZEITER | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | HENRY | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 2094665566 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.