Individual
JOSEPH J ZELASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4826 TACOMA MALL BLVD STE A, TACOMA, WA 98409-7108
(253) 475-0374
(253) 475-9291
Mailing address
4826 TACOMA MALL BLVD STE A, TACOMA, WA 98409-7108
(253) 475-0374
(253) 475-9291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0001689
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2008811
—
WA
05
—
2031144
—
WA
01
—
ZE6347
REGENCE ID NUMBER
WA
Enumeration date
02/09/2007
Last updated
11/14/2014
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