Individual provider Active NPI

Kelly Kwon Bisignano, OD, MS

  • Optometrist
  • Victoria, TX
National Provider Identifier
1770318628
Registry record updated Sep 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11099T Issued in TX
Practice address
8306 N Navarro St
Victoria, TX 77904-2600
Phone
(361) 573-4884
NPI assigned
Sep 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11099T TX Primary

Addresses

Primary practice location

8306 N Navarro St
Victoria, TX 77904-2600

Mailing address

13110 Rincon Dr
Houston, TX 77077-3604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250226003988 TX Practitioner - Optometry 0143740670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transvision PCGroup PAC ID 0648452045, 3 clinicians

Practice addresses (Care Compare)

8306 N Navarro St
Suite B
Victoria, TX 77904-2600
Phone (361) 573-4884

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11099TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Transvision, PC Optometrist CurrentSince Dec 27, 2024 Accepting new patients

Locations

8306 N Navarro St
#B
Victoria, TX 77904
Phone (361) 573-4884

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1770318628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13110 RINCON DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042600",
            "telephone_number": "361-573-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIGNANO",
        "first_name": "KELLY",
        "middle_name": "KWON",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-02",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11099T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.