Healthcare Provider Details
I. General information
NPI: 1285598789
Provider Name (Legal Business Name): BIS-MAN EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2717 ROCK ISLAND PL STE 2
BISMARCK ND
58504-7724
US
IV. Provider business mailing address
2717 ROCK ISLAND PL STE 2
BISMARCK ND
58504-7724
US
V. Phone/Fax
- Phone: 701-258-3402
- Fax:
- Phone: 701-258-3402
- Fax: 701-258-7897
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JOSH
E
BORSTAD
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 701-258-3402