Individual provider Active NPI

David Bisbee, OD

  • Optometrist
  • Cheyenne, WY
National Provider Identifier
1275873952
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
349T Issued in WY
Practice address
2528 Dell Range Blvd
Cheyenne, WY 82009-5273
Phone
(307) 634-2503
NPI assigned
Feb 18, 2013
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 349T WY Primary
Optometrist 152W00000X OPT0003031 CO

Addresses

Primary practice location

2528 Dell Range Blvd
Cheyenne, WY 82009-5273

Mailing address

426 Appletree LN
Cheyenne, WY 82009-4146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181207000670 CO Practitioner - Optometry 5496981094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claflin Eye Care, PLLCGroup PAC ID 9537332945, 3 clinicians
Archdale Optometry Corporation PLLCGroup PAC ID 0345216461, 4 clinicians

Practice addresses (Care Compare)

1924 Franklin Ave
Canon City, CO 81212-2411
Phone (719) 276-1660

7095 Lexington Dr
Colorado Springs, CO 80918-6329
Phone (719) 638-4010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT0003031COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Archdale Eyecare PLLC Optometrist CurrentSince May 11, 2020 Accepting new patients
Claflin Eye Care, PLLC Optometrist CurrentSince Jul 21, 2024 Accepting new patients
Archdale Optometry Corporation PLLC Optometrist CurrentSince May 11, 2020 Accepting new patients
Oneopto Co 1 PLLC Optometrist PastSince Jul 21, 2024 Accepting new patients
Oneopto Co 1 PLLC Optometrist PastSince May 11, 2020 Accepting new patients

Locations

1924 Franklin Ave
Canon City, CO 81212
Phone (719) 276-1660

1541 S 8th St
Colorado Springs, CO 80905
Phone (719) 577-4400

7095 Lexington Dr
Colorado Springs, CO 80918
Phone (719) 638-4010

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1275873952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 APPLETREE LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 DELL RANGE BLVD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820095273",
            "telephone_number": "307-634-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISBEE",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "349T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT0003031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.