# JUDITH A ZELLERS OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bonita Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528128667
- **Authorized official:** DR. JUDITH ANN ZELLERS O.D. (OWNER)
- **Authorized official phone:** (239) 947-6000

## Contact information

- **Practice address:** 3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
- **Practice address phone:** (239) 947-6000
- **Practice address fax:** (239) 947-3914
- **Mailing address:** 3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
- **Mailing address phone:** (239) 947-6000
- **Mailing address fax:** (239) 947-3914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1708 | FL | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 05/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078433800 | — | FL |
| 01 | — | OPC1708 | STATE LICENSE | FL |