Individual provider Active NPI

Desiree Sison, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1720535412
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15121 Issued in CA
Practice address
5478 N Palm Ave
Fresno, CA 93704-1940
Phone
(559) 447-4990
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15121 CA Primary

Addresses

Primary practice location

5478 N Palm Ave
Fresno, CA 93704-1940

Mailing address

5478 N Palm Ave
Fresno, CA 93704-1940
Phone (951) 264-1910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170927004801 CA Practitioner - Optometry 8123392271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Clinic of Fresno, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Eye Medical Clinic of Fresno, Inc CurrentSince Jun 1, 2019 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Eye Medical Clinic of Fresno, Inc. Optometrist Past Accepting new patients

Locations

1122 S St
Ste 101
Fresno, CA 93721
Phone (559) 486-5000

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

1122 S St
Fresno, CA 93721
Phone (559) 268-1737

Interoperability endpoints

  • Direct secure messaging: desiree.sisonod.p1@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: desiree.sison.1@17661.direct.athenahealth.com

Organizations & group practices 4

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1720535412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041940",
            "telephone_number": "951-264-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041940",
            "telephone_number": "559-447-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISON",
        "first_name": "DESIREE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.