Zimmer, Mark M

Zimmer, Mark M is an individual health care provider with primary practice located at 216 2Nd St Ne , Independence IA 50644-1910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Zimmer, Mark M can be contacted via phone (319) 334-3631.

Contact Information

Primary practice address
216 2Nd St Ne Independence IA 50644-1910
Fax: (319) 334-3631
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1967 Iowa

Profile Details

NPI number 1689670598
LBN Legal business name Zimmer, Mark M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Jan 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689670598 NPPES
Iowa MEDICAID 0419432
Iowa Other P00000678
Iowa Other 06297
Iowa Other 08106
Iowa Other 43738
Iowa MEDICAID 0419424

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