Active NPI
Frank Zisman, O.D., PH.D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1336215128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5802TPA
- Practice address
- 7300 Wyndham Dr
Sacramento, CA 95823-4913 - Phone
- (916) 525-6422
- NPI assigned
- Nov 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5802TPA | CA | Primary |
Addresses
Primary practice location
7300 Wyndham Dr
Sacramento, CA 95823-4913
Mailing address
193 Obsidian Way
Hercules, CA 94547-1724
Phone (510) 799-3335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972113 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5802TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Liu & Longacre, Inc. | Optometrist | Past | Accepting new patients |
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": "1164499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336215128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 OBSIDIAN WAY",
"city": "HERCULES",
"state": "CA",
"postal_code": "945471724",
"telephone_number": "510-799-3335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 WYNDHAM DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958234913",
"telephone_number": "916-525-6422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZISMAN",
"first_name": "FRANK",
"name_prefix": "Dr.",
"credential": "O.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5802TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972113",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.