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BIS-MAN EYECARE ASSOCIATES
NPI 1063602050
Optometrist in Bismarck, ND

Active since July 26, 2007CLIA 35D2101558 · Waiver
1400 SKYLINE BLVD, BISMARCK, ND 58503(701) 255-4117(701) 255-4174 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bis-man Eyecare Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIS-MAN EYECARE ASSOCIATES (NPI 1063602050) is a healthcare organization registered as an optometrist in Bismarck, North Dakota and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through September 2, 2027 and lists Melissa Mattson, Manager, as its authorized official.

NPPES Registry Identity

NPI1063602050
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLEIDENIX PC
Location Address1400 SKYLINE BLVDBismarck, ND 58503-1613
Mailing Address1000 Old Red Trl NwMandan, ND 58554-3052 · (701) 663-0012 · Fax (701) 663-0522
Phone(701) 255-4117
Fax(701) 255-4174
Organization SubpartNo
Authorized OfficialMelissa MattsonManager · (701) 663-0012
Enumeration DateJuly 26, 2007
Last NPPES UpdateOctober 3, 2018
✔ NPI 1063602050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ND · 511
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1400 SKYLINE BLVD, Bismarck, ND 58503
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Other Names 1

Doing Business AsBis-man Eyecare Associates

Other Identifiers 2

Medicaid1461913ND
Medicaid60631ND

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bis-man Eyecare Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bis-Man Eyecare Associates, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jason Erhardt, O.D.
Optometry
NPI 1093088122
2717 ROCK ISLAND PL
Bismarck, ND 58504
(701) 258-3402
✔ PECOS✔ Accepts Medicare4.6 mi
Josh Borstad, OD
Optometry
NPI 1245414457
2717 ROCK ISLAND PL STE 2
Bismarck, ND 58504
(701) 258-3402
✔ PECOS✔ Accepts Medicare4.7 mi
Joel Neumiller, O.D.
Optometry
NPI 1568446359
2717 ROCK ISLAND PL
Bismarck, ND 58504
(701) 258-3402
✔ PECOS✔ Accepts Medicare4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D2101558

Bis-Man Eyecare Associates · Bismarck, ND
Active · expires Sep 2, 2027
CLIA Number35D2101558
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 3, 2025
Certificate Expiration DateSeptember 2, 2027
Laboratory DirectorJoel D. Neumiller
Laboratory Phone(701) 255-4117
Laboratory LocationBis-Man Eyecare Associates1400 Skyline Blvd, Bismarck, ND 58503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leidenix PC's NPI number?

The NPI number for Leidenix PC is 1063602050. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Bis-Man Eyecare Associates.

Where is Leidenix PC located?

Leidenix PC is located at 1400 Skyline Blvd, Bismarck, ND 58503. The listed phone number is (701) 255-4117.

What is Leidenix PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Leidenix PC enrolled in Medicare?

Yes. Leidenix PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leidenix PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Leidenix PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leidenix PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2101558) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leidenix PC was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.