Jonathan Elliot Zissman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2532 Issued in CO

Practice address

190 Talisman Dr Unit B4
Pagosa Springs, CO 81147-9171

Phone

(970) 731-4347

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By 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 CO, TX2 enrollments

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 2

Specialty

Optometry

Education

Pacific Medical College, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Archuleta Eyecare Associates LLCGroup PAC ID 4587669437, 2 clinicians

Southern Ute Indian TribeGroup PAC ID 6800928292, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Archuleta Eyecare Associates, LLC

  dba Mountian Eye Care

  • Optometrist
  • Pagosa Springs, CO
  • NPI 1649205113
  Medicare reassignment Care Compare group NPD Authorized official
• Southern Ute Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Ignacio, CO
  • NPI 1407883309

  TX

  Medicare reassignment Care Compare group
• CCC Optical PC

  dba Point of View Eyecare

  • Optometrist
  • Pagosa Springs, CO
  • NPI 1194713057
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396770962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3976",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811473976",
            "telephone_number": "970-903-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 TALISMAN DR UNIT B4",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811479171",
            "telephone_number": "970-731-4347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISSMAN",
        "first_name": "JONATHAN",
        "middle_name": "ELLIOT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlena Rose Wosiski-Kuhn, MD, PHD
• Richard A Zak, MD
• Phillip Andrew Zappone, FNP-C
• Tabitha Zappone, NP
• Mark Henry Zeigler, PT, MS, CIDN

• Optometrist in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Optometrist in Colorado

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.