Individual
IRIT M. ZAKAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7809 MYRTLE AVE, GLENDALE, NY 11385-7439
(513) 474-4444
(513) 474-7915
Mailing address
7809 MYRTLE AVE, GLENDALE, NY 11385-7439
(718) 386-1818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1710 DT
KY
152W00000X
Optometrist
5756/T2670
OH
152W00000X
Optometrist
Primary
TUV7215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547801
ANTHEM
OH
01
—
11779602
CAQH
—
Enumeration date
08/29/2007
Last updated
08/06/2024
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