NPIMap

Organization Active NPI

Ronald D. Zuba PA

  • Optometrist
  • Columbia, SC
National Provider Identifier
1053547323
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
756 Issued in SC
Legal business name
RONALD D. ZUBA PA
Doing business as
Palmetto Eye Care
Practice address
6961 Saint Andrews Rd
Columbia, SC 29212-1142
Phone
(803) 732-4166
NPI assigned
Jun 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ronald Daniel Zuba, O.D.
Title
President
Phone
(803) 732-4166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 756 SC Primary

Addresses

Primary practice location

6961 Saint Andrews Rd
Columbia, SC 29212-1142

Mailing address

6961 Saint Andrews Rd
Columbia, SC 29212-1142
Phone (803) 732-4166

Other identifiers 1

IdentifierTypeStateIssuer
D07561MedicaidSC

Other names 1

  • Palmetto Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

6961 Saint Andrews Rd
Columbia, SC 29212
Phone (803) 732-4166

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1053547323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6961 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121142",
            "telephone_number": "803-732-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6961 SAINT ANDREWS RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292121142",
            "telephone_number": "803-732-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD D. ZUBA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "ZUBA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-732-4166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07561",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmetto Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.