Individual provider Active NPI

Ronald A Zuker, OD

  • Optometrist
  • Muskegon, MI
National Provider Identifier
1104907153
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002724 Issued in MI
Practice address
442 W Western Ave
Muskegon, MI 49440-1110
Phone
(231) 722-3556
Fax
(231) 726-6334
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002724 MI Primary

Addresses

Primary practice location

442 W Western Ave
Muskegon, MI 49440-1110

Mailing address

442 W Western Ave
Muskegon, MI 49440-1110
Phone (231) 722-3556

Other identifiers 6

IdentifierTypeStateIssuer
1764557MedicaidMI
5082466MedicaidMI
1817089MedicaidMI
1033294350OtherNPI SHELBY
1831270891OtherNPI MUSKEGON
1942385265OtherNPI MONTAGUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002724MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen and Zuker PTR Past Accepting new patients
Gundersen and Zuker PTR Past Accepting new patients
Caledonia Vision Center, PLC Optometrist PastSince Sep 1, 2024 Accepting new patients
Gundersen and Zuker PTR Past Accepting new patients

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1104907153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 W WESTERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401110",
            "telephone_number": "231-722-3556",
            "fax_number": "231-726-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W WESTERN AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494401110",
            "telephone_number": "231-722-3556",
            "fax_number": "231-726-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUKER",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1764557",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5082466",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1817089",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SHELBY",
            "identifier": "1033294350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MUSKEGON",
            "identifier": "1831270891",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MONTAGUE",
            "identifier": "1942385265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.