Organization Active NPI

Taya Patzman

Doing business as Bismarck Eyecare

  • Optometrist
  • Bismarck, ND
National Provider Identifier
1831379155
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
612 Issued in ND
Legal business name
TAYA PATZMAN
Doing business as
Bismarck Eyecare
Practice address
2821 Rock Island PL
Bismarck, ND 58504-7720
Phone
(701) 222-1724
Fax
(701) 222-1732
NPI assigned
Nov 5, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Taya M Patzman, ODNPI 1750345252
Title
Owner/Optometrist
Phone
(701) 258-8292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 612 ND Primary

Addresses

Primary practice location

2821 Rock Island PL
Bismarck, ND 58504-7720

Mailing address

2821 Rock Island PL
Bismarck, ND 58504-7720
Phone (701) 222-1724

Other identifiers 1

IdentifierTypeStateIssuer
000060568MedicaidND

Other names 1

  • Bismarck Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

2821 Rock Island Pl
Bismarck, ND 58504
Phone (701) 222-1724

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1831379155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 ROCK ISLAND PL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047720",
            "telephone_number": "701-222-1724",
            "fax_number": "701-222-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 ROCK ISLAND PL",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585047720",
            "telephone_number": "701-222-1724",
            "fax_number": "701-222-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYA PATZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PATZMAN",
        "authorized_official_first_name": "TAYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "701-258-8292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000060568",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bismarck Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.