Individual
SAMANTHA ZACZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2013 STATE ROUTE 59, KENT, OH 44240-4113
(330) 678-0201
(330) 678-4604
Mailing address
2013 STATE ROUTE 59, KENT, OH 44240-4113
(330) 678-0201
(330) 678-4604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6420
OH
152W00000X
Optometrist
Primary
OPT.6420
OH
152WP0200X
Pediatric Optometrist
OPT.6420
OH
152WV0400X
Vision Therapy Optometrist
OPT.6420
OH
Other
Enumeration date
06/11/2015
Last updated
01/03/2020
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