Organization Active NPI

Bissell Eye Care, LLC

  • Optometrist
  • Bakerstown, PA
National Provider Identifier
1104141035
Registry record updated Apr 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001472 Issued in PA
Legal business name
BISSELL EYE CARE, LLC
Practice address
5900 Heckert Rd
Bakerstown, PA 15007-1002
Phone
(724) 443-6767
Fax
(724) 443-6730
NPI assigned
Apr 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2010

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

Authorized official

Name
Dr. John David Bissell, O.D.NPI 1053362657
Title
Owner
Phone
(724) 882-4561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG001472 PA Primary

Addresses

Primary practice location

5900 Heckert Rd
Bakerstown, PA 15007-1002

Mailing address

5900 Heckert Rd
Bakerstown, PA 15007-1002
Phone (724) 443-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000411 PA Part B Supplier - Clinic/Group Practice 5294866687 Receives reassigned benefits from 4 practitioners
Practice locations: Natrona Heights, PA; Bakerstown, PA

National Provider Directory

National Provider Directory

Locations

1629 Union Ave
Ste 1
Natrona Heights, PA 15065
Phone (724) 226-0444

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270339200000",
    "number": "1104141035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HECKERT RD",
            "city": "BAKERSTOWN",
            "state": "PA",
            "postal_code": "150071002",
            "telephone_number": "724-443-6767",
            "fax_number": "724-443-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HECKERT RD",
            "city": "BAKERSTOWN",
            "state": "PA",
            "postal_code": "150071002",
            "telephone_number": "724-443-6767",
            "fax_number": "724-443-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISSELL EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-04",
        "last_updated": "2010-04-04",
        "status": "A",
        "authorized_official_last_name": "BISSELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-882-4561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakerstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.