Bistline Vision Care Associates, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002052 Issued in PA

Legal business name

BISTLINE VISION CARE ASSOCIATES, PC

Practice address

500 W Germantown Pike
Space 2230
Plymouth Meeting, PA 19462-1353

Phone

(610) 941-0335

Fax

(610) 941-9534

NPI assigned

Aug 9, 2011

Last updated

Aug 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Bistline, O.D.NPI 1538311600

Title

Owner

Phone

(610) 941-0335

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Kevin C Bistline, O.D.

  • Optometrist
  • Plymouth Meeting, PA
  • NPI 1538311600
  Medicare reassignment Authorized official
• Gabriel Russell, OD

  • Optometrist
  • McDonough, GA
  • NPI 1306323779

  PA

  Medicare reassignment

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1972882942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W GERMANTOWN PIKE",
            "address_2": "SPACE 2230",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621353",
            "telephone_number": "610-941-0335",
            "fax_number": "610-941-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W GERMANTOWN PIKE",
            "address_2": "SPACE 2230",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621353",
            "telephone_number": "610-941-0335",
            "fax_number": "610-941-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISTLINE VISION CARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "BISTLINE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-941-0335",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail L Bird, LPN
• Kevin Michael Bisch, PHARMD
• David Bishop
• Francis Bissue
• Tina Bistarkey
• Kevin C Bistline, O.D.
• Monika Bixler
• April Black
• Edward Black
• Joy Renee Blackburn

• Optometrist in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.