Elissa Bostian OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELISSA BOSTIAN OD PLLC

Practice address

1517 Gene George Blvd
Springdale, AR 72762-0716

Phone

(479) 365-7166

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Elissa Bostian, ODNPI 1033551437

Title

Optometrist

Phone

(479) 365-7166

Specialties & licenses 1

Addresses

Other names 1

• EB Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

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

• Elissa Bostian, O.D.

  • Optometrist
  • Springdale, AR
  • NPI 1033551437
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1144014739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17070 HARMON RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727048620",
            "telephone_number": "479-841-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 GENE GEORGE BLVD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620716",
            "telephone_number": "479-365-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISSA BOSTIAN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "BOSTIAN",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "479-365-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EB Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Elizabeth Edwards, OT
• Cara Edwards
• Nicole Eldridge, MHPP
• Ahmad Elesber, M.D.
• Elevate Swallowing and Voice Solutions LLC
• Alicia Elledge, CPO, LPO
• Allison L Elliot, MHPP
• Abby Claire Elliott
• Ashlyn Elliott
• Betty Ellis

• Optometrist in Springdale, AR
• Providers in Springdale, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.