Taya Marie Patzman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

612 Issued in ND

Practice address

1830 E Century Ave
Ste. 1
Bismarck, ND 58503-0639

Phone

(701) 222-1140

Fax

(701) 222-1142

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Taya Marie Johnson Other name

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bismarck Eyecare, P.C.

  • Optometrist
  • Bismarck, ND
  • NPI 1396988010
  Medicare reassignment
• Eyecare Associates, PC

  • Optometrist
  • Fargo, ND
  • NPI 1811077100
  NPD (past)
• Leidenix PC

  • Optometrist
  • Bismarck, ND
  • NPI 1063602050
  NPD (past)
• West Fargo Eyecare Associates PC

  • Optometrist
  • West Fargo, ND
  • NPI 1871031153
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1750345252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 CRESTVIEW LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585013048",
            "telephone_number": "701-258-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E CENTURY AVE",
            "address_2": "STE. 1",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030639",
            "telephone_number": "701-222-1140",
            "fax_number": "701-222-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZMAN",
        "first_name": "TAYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60568",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYA",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pathways to Freedom
• Bigirimana Patience
• Alissa Patterson, LMSW
• Jenysa Rose Patterson
• Nicole Patterson, LSW
• Michelle Ann Paul-Fiest, MSW/LAC
• Christine D Pauling, RN
• Monica Paulo, MD
• Laura Paulson
• Pax Therapy Solutions, PLLC

• 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 Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.