Organization Active NPI

Gundersen and Zuker PLLC

  • Optometrist
  • Muskegon, MI
National Provider Identifier
1831270891
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002694 Issued in MI
Legal business name
GUNDERSEN AND ZUKER PLLC
Practice address
442 W Western Ave
Muskegon, MI 49440-1110
Phone
(231) 722-3556
Fax
(231) 726-6334
NPI assigned
Oct 18, 2006
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Elizabeth Furtaw
Title
Billing Specialist
Phone
(231) 722-3556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4901002694 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 5

IdentifierTypeStateIssuer
410012883OtherMIRAILROAD MEDICARE
5082466MedicaidMI
1417993098OtherNPI DAVID GUNDERSEN OD
5082457MedicaidMI
1104907153OtherNPI RONALD ZUKER OD

National Provider Directory

National Provider Directory

Locations

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

24 S Michigan Ave
Shelby, MI 49455
Phone (231) 861-5417

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1831270891",
    "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": {
        "organization_name": "GUNDERSEN AND ZUKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "FURTAW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "231-722-3556"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410012883",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5082466",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DAVID GUNDERSEN OD",
            "identifier": "1417993098",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5082457",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI RONALD ZUKER OD",
            "identifier": "1104907153",
            "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 8, 2015; 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.