George T Sisson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1908 Issued in WA

Practice address

1070 Basin St SW
Ste F
Ephrata, WA 98823-1005

Phone

(509) 754-6131

Fax

(509) 754-9243

NPI assigned

Sep 21, 2005

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 2

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Eye and Vision Clinic , PLLCGroup PAC ID 7719313790, 7 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Eye and Vision Clinic PLLC

  • Optometrist
  • Moses Lake, WA
  • NPI 1881236909
  Medicare reassignment Care Compare group NPD
• Ephrata Eye Care, PLLC

  • Optometrist
  • Ephrata, WA
  • NPI 1629385232
  Medicare reassignment NPD
• Valley Eye and Vision Clinic , PLLC

  • Optometrist
  • East Wenatchee, WA
  • NPI 1215714852
  NPD

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1811983299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 BASIN ST SW",
            "address_2": "STE F",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231005",
            "telephone_number": "509-754-6131",
            "fax_number": "509-754-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 BASIN ST SW",
            "address_2": "STE F",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231005",
            "telephone_number": "509-754-6131",
            "fax_number": "509-754-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "GEORGE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "0681290001",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2030252",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rural Imaging Services, LLC
• Safeway Inc
• Samuel Isaac Scheelke
• Alyssa Danielle Shearer
• Mashara Solita Siegel, CPHT
• Barbara Lee Smith
• Sonya Smithgall, PT
• Katie Ann Smithson, PTA
• Deanna S Snyder, ARNP
• Sheena Louise Starkel, PHARMD

• All providers in Ephrata, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.

Verify at the official NPI Registry.