Organization Active NPI

Zuraida Zainalabidin, PLC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1306881156
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1406 Issued in AZ
Legal business name
ZURAIDA ZAINALABIDIN, PLC
Practice address
7406 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone
(520) 545-0202
Fax
(520) 545-0201
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Dr. Zuraida Zainalabidin, ODNPI 1740262815
Title
President
Phone
(520) 545-0202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1406 AZ Primary

Addresses

Primary practice location

7406 N la Cholla Blvd
Tucson, AZ 85741-2306

Mailing address

7406 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 545-0202

Other identifiers 1

IdentifierTypeStateIssuer
Z110331OtherAZMEDICARE GROUP PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060901000196 AZ Part B Supplier - Clinic/Group Practice 0941204036 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2096918Zuraida Zainalabidin PLC7406 N la Cholla Blvd, Tucson, AZ 85741Certificate of waiverJun 2, 2027

National Provider Directory

National Provider Directory

Locations

7245 E Tanque Verde Rd
Ste 150
Tucson, AZ 85715
Phone (520) 721-4751

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1306881156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7406 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-545-0202",
            "fax_number": "520-545-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-545-0202",
            "fax_number": "520-545-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZURAIDA ZAINALABIDIN, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "ZAINALABIDIN",
        "authorized_official_first_name": "ZURAIDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-545-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "Z110331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.