Provider Demographics
NPI:1902955834
Name:ZZB INC
Entity Type:Organization
Organization Name:ZZB INC
Other - Org Name:OPTI VISION 2000
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-962-9898
Mailing Address - Street 1:832 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-4316
Mailing Address - Country:US
Mailing Address - Phone:765-935-1808
Mailing Address - Fax:765-962-3944
Practice Address - Street 1:3757 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-3614
Practice Address - Country:US
Practice Address - Phone:765-935-4193
Practice Address - Fax:765-935-4410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1002J7180DMedicaid
0812460003Medicare NSC