Kelli Bishop, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

8043T Issued in TX

Practice address

1529 380 Byp
Graham, TX 76450-2323

Phone

(940) 549-1621

NPI assigned

Aug 21, 2006

Last updated

Sep 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1669587143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 BRAZOS ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503905",
            "telephone_number": "940-521-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 380 BYP",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764502323",
            "telephone_number": "940-549-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "KELLI",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1683DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8043T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belknap Family Practice, PLLC (Brazos Family Clinic)
• Kelsie Berend, OTR
• Beyondfaith Homecare & Rehab of Graham, LLC (BeyondFaith Homecare & Rehab of Graham)
• Beyondfaith Hospice LLC
• Heather Birdwell
• Roseanna Lou Bowden, RPH TEXAS 23029
• Brandi G. Menard Counseling Services, PLLC
• Brazos Valley Diagnostic, LLC
• James Todd Brewer, D.D.S.
• Brian K Hill DDS PLLC (Lake CountryDental Center)

• Optometrist in Graham, TX
• Providers in Graham, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.