Individual
DR. TODD KENNETH ZUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4705 WEITZEL STREET, OPTOMETRY CLINIC, TIMNATH, CO 80547-8959
(970) 416-6130
(970) 416-6129
Mailing address
862 CAMPFIRE DR, FORT COLLINS, CO 80524-1992
(312) 371-2258
(970) 416-6129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2650
CO
152W00000X
Optometrist
3088-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04573277
—
CO
05
—
38632400
—
WI
Enumeration date
08/14/2007
Last updated
05/15/2019
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