Individual provider Active NPI

Jimmy Zisman

  • Optometrist
  • New York, NY
National Provider Identifier
1790192466
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006238-01 Issued in NY
Practice address
1010 2ND Ave
New York, NY 10022-4966
Phone
(212) 753-7733
Fax
(212) 753-2677
NPI assigned
Jul 15, 2014
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006238-01 NY Primary
Optometrist 152W00000X 006238-1 NY
Vision Therapy Optometrist 152WV0400X 006238-1 NY

Addresses

Primary practice location

1010 2ND Ave
New York, NY 10022-4966

Mailing address

1010 2ND Ave
New York, NY 10022-4966
Phone (212) 753-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
006238-01NYMDOptometrist
006238-1NYMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Leonard Opticians Current Accepting new patients
James Leonard Opticians, Inc Optometrist Current Accepting new patients

Locations

1010 2nd Ave
New York, NY 10022
Phone (212) 753-7730

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1790192466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224966",
            "telephone_number": "212-753-7733",
            "fax_number": "212-753-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 2ND AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224966",
            "telephone_number": "212-753-7733",
            "fax_number": "212-753-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISMAN",
        "first_name": "JIMMY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006238-01",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006238-1",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "006238-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.