Individual provider Active NPI

Joel Neumiller, O.D.

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1568446359
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
552 Issued in ND
Practice address
2717 Rock Island PL
Bismarck, ND 58504-7724
Phone
(701) 258-3402
NPI assigned
Dec 5, 2005
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 552 ND Primary
Corneal and Contact Management Optometrist 152WC0802X 552 ND
Low Vision Rehabilitation Optometrist 152WL0500X 552 ND
Pediatric Optometrist 152WP0200X 552 ND
Vision Therapy Optometrist 152WV0400X 552 ND
Occupational Vision Optometrist 152WX0102X 552 ND

Addresses

Primary practice location

2717 Rock Island PL
Bismarck, ND 58504-7724

Mailing address

1801 Longley Ave
Bismarck, ND 58501-2171
Phone (701) 355-4782

Other practice location 1

1400 Skyline Blvd
Bismarck, ND 58503-1613
Phone (701) 255-4117

Other identifiers 4

IdentifierTypeStateIssuer
MEI30952OtherNDBLUE CROSS BLUE SHIELD OF ND
60498MedicaidND
N712435OtherNDMEDICARE PTAN
P00717242OtherNDRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drjoel@bismaneyecareassociates.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051101000579 TX Practitioner - Optometry 1951328608 Reassigns benefits to 1 organization
I20070219000347 ND Practitioner - Optometry 1951328608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leidenix PCGroup PAC ID 8527063882, 3 clinicians

Practice addresses (Care Compare)

10 N River Rd
Fort Yates, ND 58538-0527
Phone (701) 854-3831

10 N Standing Rock Ave
PO Box J
Fort Yates, ND 58538-0527

1000 Old Red Trail NW
Mandan, ND 58554

1400 Skyline Blvd
Suite 1
Bismarck, ND 58503-1613
Phone (701) 255-4117

PO Box J
Fort Yates, ND 58538-0527

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552NDMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leidenix PC Optometrist Current Accepting new patients
Independent Optical, Inc Past Accepting new patients
Eyes on Parkway PC Past Accepting new patients
Hetland Ear Nose Throat PC PastSince May 6, 2024 Accepting new patients

Locations

2717 Rock Island Pl
Ste 2
Bismarck, ND 58504
Phone (701) 258-3402

1000 Old Red Trl NW
Mandan, ND 58554
Phone (701) 663-0012

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13015/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1568446359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LONGLEY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585012171",
            "telephone_number": "701-355-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 ROCK ISLAND PL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047724",
            "telephone_number": "701-258-3402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Skyline Blvd",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585031613",
            "country_code": "US",
            "telephone_number": "701-255-4117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMILLER",
        "first_name": "JOEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "552",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ND",
            "license": "552",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "ND",
            "license": "552",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "ND",
            "license": "552",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "ND",
            "license": "552",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "ND",
            "license": "552",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ND",
            "identifier": "MEI30952",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60498",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N712435",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00717242",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drjoel@bismaneyecareassociates.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2717 Rock Island Pl",
            "city": "Bismarck",
            "state": "ND",
            "country_code": "US",
            "postal_code": "585047724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.