Organization
JUDITH A ZELLERS OD PA
Active
Other names
Bonita Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN ZELLERS O.D. (OWNER)
(239) 947-6000
Entity
Organization
Contact information
Practice address
3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
(239) 947-6000
(239) 947-3914
Mailing address
3925 BONITA BEACH RD, BONITA SPRINGS, FL 34134-4112
(239) 947-6000
(239) 947-3914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1708
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078433800
—
FL
01
—
OPC1708
STATE LICENSE
FL
Enumeration date
12/11/2006
Last updated
05/12/2008
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