Active NPI
Michael Joseph Zirhut, O.D.
- Optometrist
- Placerville, CA
National Provider Identifier
1952394900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6149T
- Practice address
- 1005 Fowler Way
Placerville, CA 95667-5740 - Phone
- (530) 295-8001
- Fax
- (530) 295-8008
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6149T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 6149T | CA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 6149T | CA | |
| Vision Therapy Optometrist | 152WV0400X | 6149T | CA |
Addresses
Primary practice location
1005 Fowler Way
Placerville, CA 95667-5740
Mailing address
1005 Fowler Way
Placerville, CA 95667-5740
Phone (530) 295-8001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0061490 | Medicaid | CA | |
| 1952394900 | Other | CA | NATIONAL PROVIDER IDENTIFIER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6149T | CA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262563200000",
"number": "1952394900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 FOWLER WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675740",
"telephone_number": "530-295-8001",
"fax_number": "530-295-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 FOWLER WAY",
"city": "PLACERVILLE",
"state": "CA",
"postal_code": "956675740",
"telephone_number": "530-295-8001",
"fax_number": "530-295-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIRHUT",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2010-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "6149T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "6149T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "6149T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "6149T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0061490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER",
"identifier": "1952394900",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Placerville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.