Individual provider Active NPI

Norma Angelica Zuniga, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1861671174
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002392 Issued in GA
Practice address
3393 Peachtree Rd NE
Suite B128
Atlanta, GA 30326-1162
Phone
(404) 233-9296
Fax
(404) 841-9908
NPI assigned
Nov 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002392 GA Primary

Addresses

Primary practice location

3393 Peachtree Rd NE
Suite B128
Atlanta, GA 30326-1162

Mailing address

3071 Woodwalk Dr SE
Atlanta, GA 30339-8551
Phone (404) 861-3663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110629000242 GA Practitioner - Optometry 6608054333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002392GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Eye Associates P C Optometrist Current Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296

Organizations & group practices 2

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": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1861671174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 WOODWALK DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303398551",
            "telephone_number": "404-861-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 PEACHTREE RD NE",
            "address_2": "SUITE B128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261162",
            "telephone_number": "404-233-9296",
            "fax_number": "404-841-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNIGA",
        "first_name": "NORMA",
        "middle_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.