Individual
JONATHAN ELLIOT ZISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
190 TALISMAN DR UNIT B4, PAGOSA SPRINGS, CO 81147-9171
(970) 731-4347
Mailing address
PO BOX 3976, PAGOSA SPRINGS, CO 81147-3976
(970) 903-1084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2532
CO
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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