Provider Demographics
NPI:1649610593
Name:ZB OPTICAL INC.
Entity type:Organization
Organization Name:ZB OPTICAL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL / MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-602-9402
Mailing Address - Street 1:7847 S MARYLAND AVE
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-3109
Mailing Address - Country:US
Mailing Address - Phone:773-602-9402
Mailing Address - Fax:866-713-4743
Practice Address - Street 1:7847 S MARYLAND AVE
Practice Address - Street 2:SUITE 100B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619
Practice Address - Country:US
Practice Address - Phone:773-602-9402
Practice Address - Fax:866-713-4743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty