Provider Demographics
NPI:1861671174
Name:ZUNIGA, NORMA ANGELICA (OD)
Entity Type:Individual
Prefix:DR
First Name:NORMA
Middle Name:ANGELICA
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 WOODWALK DR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-8551
Mailing Address - Country:US
Mailing Address - Phone:404-861-3663
Mailing Address - Fax:
Practice Address - Street 1:3393 PEACHTREE RD NE
Practice Address - Street 2:SUITE B128
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-1162
Practice Address - Country:US
Practice Address - Phone:404-233-9296
Practice Address - Fax:404-841-9908
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002392152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist