Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pranaya Bista

Individual provider Optometrist · NPI 1124792411

Pranaya Bista is an Optometrist in Mequon, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021

Practice location Address checks out

10996 N Port Washington Rd
Mequon, WI 53092-5031
Phone: (262) 240-9870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3694-35 (WI)

Record details

NPI number1124792411
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2021
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021
Mailing address13660 W Wildflower Ln, New Berlin, WI 53151-7556

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