Organization Active NPI

Gundersen and Zuker PLLC

  • Optometrist
  • Whitehall, MI
National Provider Identifier
1942385265
Registry record updated Feb 19, 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
1030 S Mears Ave
Ste B
Whitehall, MI 49461-1784
Phone
(231) 893-5671
Fax
(231) 861-6655
NPI assigned
Oct 26, 2006
Last updated
Feb 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 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

1030 S Mears Ave
Ste B
Whitehall, MI 49461-1784

Mailing address

1030 S Mears Ave
Ste B
Whitehall, MI 49461-1784
Phone (231) 893-5671

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1942385265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 S MEARS AVE",
            "address_2": "STE B",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611784",
            "telephone_number": "231-893-5671",
            "fax_number": "231-861-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 S MEARS AVE",
            "address_2": "STE B",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611784",
            "telephone_number": "231-893-5671",
            "fax_number": "231-861-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUNDERSEN AND ZUKER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-02-19",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.