John Biestek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

061102660 Issued in CT

Practice address

35 Pleasent St
Suite 2C
Meriden, CT 06450

Phone

(203) 235-4462

Fax

(203) 238-4436

NPI assigned

Aug 3, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Eyecare

  • Exclusive Provider Organization
  • Meriden, CT
  • NPI 1033376330
  NPD (past) Authorized official
• Waterbury Eye Associates LLC

  • Optometrist
  • Waterbury, CT
  • NPI 1750403051
  NPD
• Premier Eyecare of Meriden LLC.

  • Optometrist
  • Meriden, CT
  • NPI 1801330691
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1174524896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 PLEASENT ST",
            "address_2": "SUITE 2C",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-235-4462",
            "fax_number": "203-238-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PLEASENT ST",
            "address_2": "SUITE 2C",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-235-4462",
            "fax_number": "203-238-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIESTEK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2014-09-17",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "061102660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bernardara
• Jocelyne Betun Panora, RN
• Sajidmahmad Saeed Bhamji, M.D.
• Anil Kumar Bhardwaj, M.D.
• Madhavi Bhoomagoud, MD
• Bio-Medical Applications of Connecticut, Inc. (Fresenius Medical Care Central Connecticut)
• Latisha Birchett
• Theresa A Blackmer
• Robert L. Block, M.D.
• Blossoming Butterflies LLC

• Optometrist in Meriden, CT
• Providers in Meriden, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.