Individual
DR. PETER H ZIMMERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
223 E MAIN ST, FESTUS, MO 63028-1952
(636) 937-2399
(636) 937-4683
Mailing address
223 E MAIN ST, FESTUS, MO 63028-1952
(636) 937-2399
(636) 937-4683
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313427601
—
MO
Enumeration date
09/14/2005
Last updated
03/13/2014
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