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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRANAYA BISTA

Active

PRANAYA BISTA is a Optometrist healthcare provider located in MEQUON, Wisconsin. NPI 1124792411 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MEQUON, WI

Registration Details

NPI Number
1124792411
Provider Type
Individual
Gender
Male
NPI Issued
Aug 2, 2021 (5.0170069256945 yrs)
Last Updated
Aug 2, 2021
License
3694-35 (WI)

Practice Information

Address
10996 N PORT WASHINGTON RD
MEQUON, WI, 530925031
Browse WI providers · Browse ZIP 53092
Phone
2622409870
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in MEQUON, WI

Name Credential NPI
DR. MARK E GERMAN O.D. 1912902388
RENEE HAEFS O.D. 1609883990
DR. JAMES JOHN IVANOSKI O.D. 1922166826
DAVID ZOLOT OD 1417013343
JANICE LE O.D. 1538422027
DR. THEOTHOTA BAIRAKTARIS MEEK OD 1730644477
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.