Garrett M Zgunda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18004111A Issued in IN

Practice address

4801 W Bethel Ave
Muncie, IN 47304-5510

Phone

(765) 288-7744

Fax

(765) 282-0741

NPI assigned

Apr 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN2 enrollments

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 2

Specialty

Optometry

Education

Indiana University - School of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision Care LLCGroup PAC ID 9335664226, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Vision Care LLC

  • Optometrist
  • Muncie, IN
  • NPI 1740005495
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1548758865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045510",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045510",
            "telephone_number": "765-288-7744",
            "fax_number": "765-282-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGUNDA",
        "first_name": "GARRETT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004111A",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004111B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samerawit Asrat Zeleke, M.D
• Sharee Shaunte' Zellers, COTA
• Alexander Zemtsov, MD
• Holly Zent, PTA
• Jacob Zentz
• Amjed Z Zidan, DO
• Raymond Ziecina, RBT
• Madison Gail Zigenfus, PA-C
• Ritika Zijoo, MD
• Samuel Adam Zike, MD

• Optometrist in Muncie, IN
• Providers in Muncie, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.