Eyes of Bismarck PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

681 Issued in ND

Legal business name

EYES OF BISMARCK PLLC

Practice address

2821 Rock Island PL
Bismarck, ND 58504-7720

Phone

(701) 223-3780

Fax

(701) 222-1732

NPI assigned

Sep 21, 2009

Organization subpart

No

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

Authorized official

Name

Derek D Czywczynski, O.D.

Title

Doctor of Optometry

Phone

(701) 223-3780

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1225362486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 ROCK ISLAND PL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047720",
            "telephone_number": "701-223-3780",
            "fax_number": "701-222-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ROCK ISLAND PL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047720",
            "telephone_number": "701-223-3780",
            "fax_number": "701-222-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF BISMARCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "CZYWCZYNSKI",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "701-223-3780",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ND",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.