MEDICARE: BIS-MAN EYECARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1285598789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIS-MAN EYECARE PLLC

Provider Business Mailing Address
First Line	:	2717 ROCK ISLAND PL STE 2
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58504-7724
Country	:	US
Telephone Number	:	701-258-3402
Fax Number	:	701-258-7897

Provider Business Practice Location Address
First Line	:	2717 ROCK ISLAND PL STE 2
Second Line	:
City	:	BISMARCK
State	:	ND
Zip	:	58504-7724
Country	:	US
Telephone Number	:	701-258-3402
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	DR. JOSH E BORSTAD
Credential	:	OD
Telephone Number	:	701-258-3402

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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