Individual provider Active NPI

Daniel David Ziemann, OD

  • Optometrist
  • Surprise, AZ
National Provider Identifier
1154990570
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002499 Issued in AZ
Practice address
13641 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8012
Phone
(623) 401-1275
NPI assigned
Jun 21, 2021
Last updated
Jun 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002499 AZ Primary

Addresses

Primary practice location

13641 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8012

Mailing address

13641 N Prasada Pkwy Ste 100
Surprise, AZ 85388-8012
Phone (623) 401-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210708001514 AZ Practitioner - Optometry 4486056843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Jun 21, 2021 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

7700 W Arrowhead Towne Ctr
Glendale, AZ 85308
Phone (623) 486-2020

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

13641 N Prasada Pkwy
Ste 100
Surprise, AZ 85388
Phone (623) 401-1275

2020 E Rio Salado Pkwy
Ste 101
Tempe, AZ 85288
Phone (480) 967-0563

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1154990570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13641 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888012",
            "telephone_number": "623-401-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13641 N PRASADA PKWY STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853888012",
            "telephone_number": "623-401-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMANN",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.