Individual
DR. ALLISON SUE ZAUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1040 N RENGSTORFF AVE, SUITE B, MOUNTAIN VIEW, CA 94043-1750
(650) 968-3937
(650) 968-4082
Mailing address
1040 N RENGSTORFF AVE, SUITE B, MOUNTAIN VIEW, CA 94043-1750
(650) 968-3937
(650) 968-4082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12030T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65828Z
BLUE SHIELD PROVIDER ID
CA
Enumeration date
01/18/2006
Last updated
07/08/2007
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