Individual provider Active NPI

Vincent Henry Biesiot, O.D.

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1376695932
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
647 Issued in ND
Practice address
2456 3Rd Ave W
Dickinson, ND 58601-2608
Phone
(701) 456-8035
Fax
(701) 456-8037
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 647 ND Primary

Addresses

Primary practice location

2456 3Rd Ave W
Dickinson, ND 58601-2608

Mailing address

1071 12TH Ave W
Dickinson, ND 58601-3655
Phone (701) 225-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20070518000329 ND Practitioner - Optometry 4688771058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Better Vision PC Optometrist CurrentSince Jul 30, 2011 Accepting new patients

Locations

2456 3rd Ave W
Dickinson, ND 58601
Phone (701) 483-1466

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1071 12TH AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013655",
            "telephone_number": "701-225-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2456 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012608",
            "telephone_number": "701-456-8035",
            "fax_number": "701-456-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIESIOT",
        "first_name": "VINCENT",
        "middle_name": "HENRY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.