Individual
DR. ZACHARY C SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 849-4555
(812) 849-2842
Mailing address
415 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5517
(812) 849-4555
(812) 849-2842
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003418A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200826400
—
IN
Enumeration date
08/22/2006
Last updated
07/21/2022
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