Individual provider Active NPI

Dana Craig Ziskrout, OD

  • Optometrist
  • Humble, TX
National Provider Identifier
1720086663
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5477TG Issued in TX
Practice address
20811 Highway 59 N Ste 300
Humble, TX 77338-2260
Phone
(281) 446-2020
Fax
(281) 548-3411
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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 5477TG TX Primary

Addresses

Primary practice location

20811 Highway 59 N Ste 300
Humble, TX 77338-2260

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
041996205MedicaidTX
041996204MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040604000450 TX Practitioner - Optometry 4789666561 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Strong Vision Center PAGroup PAC ID 1658365317, 5 clinicians
University of Houston SystemGroup PAC ID 6901896356, 55 clinicians

Practice addresses (Care Compare)

27220 Hwy 290
Cypress, TX 77433-7149
Phone (281) 373-3063

4401 Martin Luther King Blvd
Houston, TX 77204-2020
Phone (713) 743-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5477TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
University of Houston System Optometrist CurrentSince Jan 2, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Strong Vision Center PA Optometrist CurrentSince Aug 20, 2025 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Strong Vision Fairfield, P.a. Optometrist CurrentSince Aug 20, 2025 Accepting new patients
University of Houston CurrentSince Jan 2, 2024 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist Past Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

11645 Angus Rd
Ste 5
Austin, TX 78759
Phone (512) 345-5641

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

27220 Highway 290
Ste A
Cypress, TX 77433
Phone (281) 373-3063

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6127 FM 1960 Rd W
Houston, TX 77069
Phone (281) 469-2020

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

20811 Highway 59 N
Ste 300
Humble, TX 77338
Phone (281) 446-2020

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 11

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1720086663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20811 HIGHWAY 59 N STE 300",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773382260",
            "telephone_number": "281-446-2020",
            "fax_number": "281-548-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISKROUT",
        "first_name": "DANA",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5477TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041996205",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041996204",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.