Individual provider Active NPI

Zachary Andres Unruh, OD, MD

  • Student in an Organized Health Care Education/Training Program
  • Temple, TX
National Provider Identifier
1962715557
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP20078418 Issued in TX
Practice address
2401 S 31St St # Ms 01161B
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Jul 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP20078418 TX Primary

Addresses

Primary practice location

2401 S 31St St # Ms 01161B
Temple, TX 76508-0001

Mailing address

2401 S 31St St # Ms 01161B
Temple, TX 76508-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613003339 OH Practitioner - Ophthalmology 8325163546 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Retina, IncGroup PAC ID 0244207074, 9 clinicians

Practice addresses (Care Compare)

2935 Maple Ave
Zanesville, OH 43701-1487
Phone (614) 339-8500

6655 Post Rd
Dublin, OH 43016-8214
Phone (614) 339-8500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Retina, Inc CurrentSince Jul 1, 2025 Accepting new patients

Locations

262 Neil Ave
Ste 330
Columbus, OH 43215

6573 E Broad St
Ste B
Columbus, OH 43213

6655 Post Rd
Dublin, OH 43016

2935 Maple Ave
Zanesville, OH 43701
Phone (614) 233-9500

Interoperability endpoints

  • Direct secure messaging: zunruh828686@direct.sw.org
  • Direct secure messaging: zachary.unruh.d1.p1@direct.midwestretina.nextgenshare.com

Organizations & group practices 1

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": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1962715557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST # MS 01161B",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNRUH",
        "first_name": "ZACHARY",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "OD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP20078418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.