Siokos, Zissie

Siokos, Zissie is an individual health care provider with primary practice located at 860 E Swedesford Rd Suite 100, Wayne PA 19087-2130. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Siokos, Zissie can be contacted via phone (610) 265-2020.

Contact Information

Primary practice address
860 E Swedesford Rd Suite 100 Wayne PA 19087-2130
Fax: (610) 265-4054
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X PAOEG1082 Pennsylvania

Profile Details

NPI number 1609960475
LBN Legal business name Siokos, Zissie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Oct 30th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609960475 NPPES
Pennsylvania MEDICAID 0017617980005

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