Anthony Bistodeau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3515ATI Issued in OR

Practice address

2715 Willetta St SW
Suite B
Albany, OR 97321-3471

Phone

(541) 926-5848

NPI assigned

Oct 6, 2010

Sex

Male

Sole proprietor

No

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

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anthony.bistodeau.p1@direct.eca.nextgenshare.com

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

• Infinity Eyecare of Denver PLLC

  • Optometrist
  • Denver, CO
  • NPI 1245942689
  Medicare reassignment NPD Authorized official
• Eyecare Associates PC

  • Ophthalmology Physician
  • Albany, OR
  • NPI 1013964113

  Optometrist

  NPD (past)
• Reed & Meier P.C.

  • Optometrist
  • Denver, CO
  • NPI 1508297763
  NPD (past)

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1285943365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW",
            "address_2": "SUITE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 WILLETTA ST SW",
            "address_2": "SUITE B",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213471",
            "telephone_number": "541-926-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISTODEAU",
        "first_name": "ANTHONY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3515ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Biegler, CRNA
• Carol Biggs-Cory
• Nicolyn Bilyeu, MA, BCBA, LBA
• Stephen Bingenheimer, CADC1
• Rebekah Dawn Bird, FNP
• Cynthia Jean Bitz, M.A. CCC-SLP
• Bizzy Bee Massage LLC
• Jeff L Blackford
• Brice Blahnik, DDS
• Kevin Dean Blair, OD

• Optometrist in Albany, OR
• Providers in Albany, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.