Zackary Kosisky, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002725 Issued in AZ

Practice address

3120 E Union Hills Dr
Phoenix, AZ 85050-3421

Phone

(602) 867-4200

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Caroline Griego, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1902862329
  Medicare reassignment

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1184305278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503421",
            "telephone_number": "602-867-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 E UNION HILLS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503421",
            "telephone_number": "602-867-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSISKY",
        "first_name": "ZACKARY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT002725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Christine Kosako Yost, MD
• Allie Kosena, WHNP-BC
• Courtney C Koshar, MD
• Jacqueline Koshorek, D.O
• Jeannie Kosint
• Danielle Koski
• Kyle L Koski, PA-C
• Sandra Koski
• Jennifer Louise Koslo, MS, RD, CSSD
• Madison Adia Kosmatka

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.