Individual
DR. SUSAN C ZACATELCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Mailing address
420 N JAMES RD, COLUMBUS, OH 43219-1834
(614) 257-5200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5518T2430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11506175
CAQH
—
Enumeration date
06/29/2006
Last updated
02/22/2024
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