Healthcare Provider Details
I. General information
NPI: 1598620882
Provider Name (Legal Business Name): BIS-MAN EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 SKYLINE BLVD STE 1
BISMARCK ND
58503-1613
US
IV. Provider business mailing address
1000 OLD RED TRL NW
MANDAN ND
58554-3052
US
V. Phone/Fax
- Phone: 701-255-4117
- Fax: 701-255-4174
- Phone: 701-663-0012
- Fax: 701-663-0522
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