Individual
DR. SHAUNA LEE ZEMKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0055261
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000405482001
BSNNY
—
05
—
01492800
—
NY
01
—
10006286
CDPHP
NY
01
—
107448
BCBSUW
—
01
—
59133
MVP
NY
01
—
C4A65
EBCBS
—
Enumeration date
03/28/2006
Last updated
09/26/2022
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