Active NPI
Bissell Eye Care, LLC
- Optometrist
- Bakerstown, PA
National Provider Identifier
1104141035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001472
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Bakerstown, PA
- NPI 1053362657
-
- Optometrist
- Pittsburgh, PA
- NPI 1760782205
-
- Optometrist
- New Kensington, PA
- NPI 1851521660
-
- Optometrist
- Sewickley, PA
- NPI 1467643015
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.