Eyes on Bismarck P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES ON BISMARCK P.C.

Practice address

1929 N Washington St Ste Aa
Bismarck, ND 58501-1616

Phone

(701) 255-7864

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Brian Beattie, ODNPI 1437197191

Title

Owner

Phone

(701) 255-7894

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Locations

Practitioners 2

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

• Brian C Beattie, OD

  • Optometrist
  • Bismarck, ND
  • NPI 1437197191
  Medicare reassignment Care Compare group NPD Authorized official
• Michael G Houle, OD

  • Optometrist
  • Bismarck, ND
  • NPI 1669530259
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550016000000",
    "number": "1326504598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE AA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 N WASHINGTON ST STE AA",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011616",
            "telephone_number": "701-255-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON BISMARCK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-02-13",
        "status": "A",
        "authorized_official_last_name": "BEATTIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-255-7894",
        "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": []
}

• Extended Life Home Care
• Eye Center of the Dakotas, PC
• Eye Clinic of ND
• Eyemart Express LLC
• Eyes of Bismarck PLLC
• Eyes on Parkway PC
• F E K Addo MD PC
• Face and Jaw Surgeons PC
• Erika Jean Fagerstrom, OTR/L
• J'Patrick C Fahn, D.O.

• 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 Feb 13, 2019; 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.