Individual provider Active NPI

Ehaab Zubi, O.D.

  • Optometrist
  • Rancho Cucamonga, CA
National Provider Identifier
1073745246
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13769 Issued in CA
Practice address
12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone
(909) 899-5001
Fax
(909) 899-5003
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13769 CA Primary

Addresses

Primary practice location

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576

Mailing address

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739-2576
Phone (909) 899-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091029000646 CA Practitioner - Optometry 0042357667 Reassigns benefits to 1 organization
Practice locations: Ontario, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clear View Optometry, PC Optometrist CurrentSince May 23, 2016 Accepting new patients

Locations

12263 Highland Ave
Ste 120
Rancho Cucamonga, CA 91739
Phone (909) 899-5001

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1073745246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001",
            "fax_number": "909-899-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12263 HIGHLAND AVE",
            "address_2": "STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917392576",
            "telephone_number": "909-899-5001",
            "fax_number": "909-899-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBI",
        "first_name": "EHAAB",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.