DAVID BLIESE NPI 1336200617

NPI Information

  • NPI: 1336200617
  • Provider Name: DAVID BLIESE
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • Address: 2317 BAINBRIDGE RD
    JACKSON, MO
    ZIP 63755
  • Phone: (573) 243-6719

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NPI Details

David Bliese is an optometrist in Jackson, MO. The provider is 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. David Bliese NPI is 1336200617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2317 BAINBRIDGE RD
JACKSON, MO
ZIP 63755-343
Phone: (573) 243-6719
Fax: (573) 243-6719

The enumeration date for this NPI number is 12/12/2006 and was last updated on 10/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristTO2706MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T42615MEDICARE UPINMISSOURI
2312308604MEDICAIDMISSOURI
3000006832MEDICARE ID-TYPE UNSPECIFIEDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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