Individual
DR. JEFFREY THOMAS ZIGULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1073 PRAY BLVD, WATERVILLE, OH 43566-8712
(567) 952-2020
(567) 952-2142
Mailing address
1073 PRAY BLVD, WATERVILLE, OH 43566-8712
(567) 952-2020
(567) 952-2142
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4816/T1681
OH
152W00000X
Optometrist
4901003971
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P10040
MEDICARE PROVIDER #
MI
Enumeration date
05/19/2006
Last updated
12/27/2022
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