Active NPI
Robert Clyde Bishop Jr.
- Optician
- Asheville, NC
National Provider Identifier
1801979778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1198
- Practice address
- 17 Sardis Rd
Asheville, NC 28806-8536 - Phone
- (828) 665-0603
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1198 | NC | Primary |
Addresses
Primary practice location
17 Sardis Rd
Asheville, NC 28806-8536
Mailing address
115 Brooks Cove Rd
Candler, NC 28715-9485
Phone (828) 665-0603
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40483 | Other | NC | DAVIS VISION |
| 8802013 | Medicaid | NC | |
| NC8802013 | Other | NC | SERVICES FOR BLIND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1198 | NC | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siad Inc a NC Corporation | Past | Accepting new patients | |
| Herbert Gibson III OD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optometrist
- Asheville, NC
- NPI 1902057920
-
- Optometrist
- Asheville, NC
- NPI 1194270868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1801979778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 BROOKS COVE RD",
"city": "CANDLER",
"state": "NC",
"postal_code": "287159485",
"telephone_number": "828-665-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SARDIS RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288068536",
"telephone_number": "828-665-0603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "ROBERT",
"middle_name": "CLYDE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NC",
"license": "1198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "40483",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8802013",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SERVICES FOR BLIND",
"identifier": "NC8802013",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.