Provider Demographics
NPI:1528057023
Name:ZANETTI, GENE VICTOR (OD)
Entity type:Individual
Prefix:DR
First Name:GENE
Middle Name:VICTOR
Last Name:ZANETTI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 E SILVER SPRINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470
Mailing Address - Country:US
Mailing Address - Phone:352-629-3009
Mailing Address - Fax:352-620-2812
Practice Address - Street 1:2050 E SILVER SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470
Practice Address - Country:US
Practice Address - Phone:352-629-3009
Practice Address - Fax:352-620-2812
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1323152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL084899900Medicaid
19478Medicare ID - Type Unspecified
FL084899900Medicaid