Active NPI
Dana Craig Ziskrout, OD
- Optometrist
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5477TG
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041996205 | Medicaid | TX | |
| 041996204 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5477TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| University of Houston System | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Strong Vision Center PA | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Strong Vision Fairfield, P.a. | Optometrist | Current | Accepting new patients |
| University of Houston | Current | Accepting new patients | |
| Aeg Texas Professional PLLC | Optometrist | Current | 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 | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.
- 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.