Robert a Bisanar O.D.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0837 Issued in NC

Legal business name

ROBERT A BISANAR O.D.

Practice address

305 3Rd Ave NW
Hickory, NC 28601-4913

Phone

(828) 322-8052

Fax

(828) 322-8053

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Karen S Winebarger

Title

MGR.

Phone

(828) 322-8052

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1407027733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1967",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286031967",
            "telephone_number": "828-322-8052",
            "fax_number": "828-322-8053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 3RD AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286014913",
            "telephone_number": "828-322-8052",
            "fax_number": "828-322-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BISANAR O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "WINEBARGER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MGR.",
        "authorized_official_telephone_number": "828-322-8052"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "0837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909097",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Hickory, NC
• Providers in Hickory, NC by specialty
• Eyewear Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.