Zissie Siokos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

PAOEG1082 Issued in PA

Practice address

860 E Swedesford Rd
Suite 100
Wayne, PA 19087-2130

Phone

(610) 265-2020

Fax

(610) 265-4054

NPI assigned

Oct 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Surgical Eye Care LTD

  • Ophthalmology Physician
  • Wayne, PA
  • NPI 1841204757
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1609960475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 GREEN LANE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "215-421-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E SWEDESFORD RD",
            "address_2": "SUITE 100",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872130",
            "telephone_number": "610-265-2020",
            "fax_number": "610-265-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIOKOS",
        "first_name": "ZISSIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PAOEG1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017617980005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven B Siepser, MD
• Susan I. Silberg, DMD
• Sara Silliman
• Donna B Sinnott, IBCLC
• Paul Sinnott, D.C.
• Nicholas Peter Sitaras, PT
• Christopher Vincent Skahan, M.S. COUNSELING
• Elisabeth Sherman Slate, PH.D.
• Sara A. Slattery, M.D.
• Shelley Slott, CCCSLP

• Optometrist in Wayne, PA
• Providers in Wayne, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.